Hypertrophic Elongation of the Vaginal Cervix.—In this condition there is a marked increase in the length of the vaginal portion of the cervix uteri, though the thickness of the cervix may be but little, if any, greater than normal. The vaginal cervix may be so long that the external os may lie outside the ostium vaginæ.

Fig. 112.—Mucous polyp of cervix.

Fig. 113.—Cervical polyp.

The condition is a true hypertrophic growth, the cause of which is unknown. It is probably congenital, as it is found in the virgin.

The diagnosis between elongation of the vaginal cervix and the various forms of prolapse of the uterus and the vagina may be readily made. In elongation of the vaginal cervix the fundus uteri is at the normal level; there is no inversion of the vagina; the vaginal fornices are in the normal position.

Elongation of the vaginal cervix to a degree sufficient to be considered pathological is very rare.

The treatment consists in amputation of the cervix.

Chancre of the Cervix.—Chancre of the cervix is a rare lesion. One observer, Rassennone, found 117 uterine chancres in a series of 1375 cases of venereal sores on the female genitals. The sore may occur on either lip of the cervix and may extend into the cervical canal. The appearance is that characteristic of similar sores in other parts of the body.