This paper is based on observations in 683 women with uterine fibroids treated in the University of California Hospital. Included in the compilation are all tumors larger than 1 cm. in diameter. The smaller fibroids rarely caused symptoms but are reviewed because invariably there was an associated pathologic condition that demanded treatment. The larger tumors ranged in size up to masses that completely filled the abdomen. For the purposes of this study I have considered as large any fibroid mass which, together with the uterus, was larger than a four months' pregnancy, because growths of this size are too bulky to be treated properly with radium. Thus classified, there are in this series 394 cases of large tumor and 289 cases of small ones.
The age of the patient with uterine fibroids is often an important matter in choosing a proper form of treatment for the tumors that demand
LYNCH FW. UTERINE FIBROMYOMAREVIEW OF SIX HUNDRED AND EIGHTY-THREE CASES. JAMA. 1930;94(3):156–162. doi:10.1001/jama.1930.02710290010003