With the employment of the more exact clinical methods of examination and with the systematic study of all uteri removed at operation we have gradually gained an insight into the various diseases of the uterus.
Hemorrhage is one of the cardinal signs of carcinoma of the uterus, whether the disease be situated in the cervix or body. In the early stages of the disease an examination of a portion of the cervix or of scrapings from the body will as a rule enable the pathologist to say positively that a malignant growth is present.
Where uterine myomata exist hemorrhage may or may not be present, this phenomenon depending entirely on whether one or more of the myomata are partially or completely submucous.
Uterine hemorrhage also occurs where tubal pregnancy exists and is a frequent accompaniment of an acute tubal infection and is often noted where an ovarian cyst is present.
CULLEN TS. ADENOMYOMA OF THE UTERUS.. JAMA. 1908;L(2):107-115. doi:10.1001/jama.1908.25310280023002d