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October 21, 1916


Author Affiliations

Fellow of the American College of Surgeons; Surgeon, St. Vincent's Hospital TOLEDO, OHIO

JAMA. 1916;LXVII(17):1219-1223. doi:10.1001/jama.1916.02590170027009

The most worthy methods of treating uterine cancer are the radical abdominal operation of Wertheim, the extended vaginal operation of Schauta, Percy's operation for inoperable carcinoma, and radiotherapy with radium or Roentgen ray, or a combination of surgery and radiotherapy.

For a proper estimate of the value of these procedures it is highly essential that the statistical method or formula of Winter1 be used, for in this manner only can a proper idea of each be determined. By this formula, which is based on the given number of patients observed, we determine the number or percentage who are alive five years after treatment. This

is essential, because the operability, the primary mortality, permanent cures, and the absolute cures vary with each method.

There are two factors which contribute to the belief that cancer of the uterus may be cured by means other than surgical; first, the tendency of uterine

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