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March 1, 1930


JAMA. 1930;94(9):601-606. doi:10.1001/jama.1930.02710350001001

There is still room for study and discussion concerning the best mode of treatment of fibromyomas of the uterus, and a final adjustment of the conflicting views will probably never be arrived at, simply because there are types of growths which should necessarily be operated on and types which can be better treated by radium or x-rays. In borderline situations in which a complete anatomic diagnosis is impossible before treatment is begun, there will always be a divergence of views on proper therapy. Such divergence of opinion is at present great. It ranges from the view expressed by a gynecologist that the treatment of fibromyomas by x-rays is "particularly objectionable as it is not only useless, but exercises a harmful effect on the general endocrine activity and metabolism," this surgeon recommending panhysterectomy in all cases but confessing to a mortality of about 5 per cent, to the extreme of certain

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