A long observation of the ills of womankind dictates the choice of carcinoma of the uterus, maternal mortality in childbirth, sterility and birth control as the great problems of gynecology today and in the immediate future.
One of every eight women who reach the age of 35 will have a cancer. The disease ranks second among the causes of death in America. The mortality is increasing, rising from 63 to 96 per hundred thousand in seven years, or more than 50 per cent. In Philadelphia the mortality rose from 77.6 to 136.94 from 1907 to 1932, and in fifty American cities during the same time from 75.1 to 122.7. Of cancers in women, 25.83 are in the genital organs; 80 per cent of these are in the cervix uteri. Of four women who come to a physician with cancer of the cervix, one may survive. In spite of skilful
HIRST BC. THE FOUR MAJOR PROBLEMS IN GYNECOLOGYCHAIRMAN'S ADDRESS. JAMA. 1933;101(12):897–900. doi:10.1001/jama.1933.02740370001001