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July 6, 1946


Author Affiliations


From the Department of Gynecology of the Johns Hopkins University and Hospital.

JAMA. 1946;131(10):816. doi:10.1001/jama.1946.02870270016006

There is a wealth of literature regarding the incidence of carcinoma in the residual cervical stump, but there are no reliable statistics to indicate the frequency of its occurrence. References to means of diagnosis and prevention are scanty. It might be expected that vaginal bleeding would be an early symptom, but its full significance is not generally appreciated.

A recent survey of postmenopausal bleeding has been made in this clinic for the period of Jan. 1, 1938 to July 1, 1945 and the results have been reported elsewhere.1 During this study 87 cases of cervical stump bleeding were uncovered and segregated for subsequent presentation. Of this group 40 patients, or 46 per cent, were found to have a cervical cancer. Such a figure commands respect, since every case of bleeding after subtotal hysterectomy was investigated. Of these 40 there were 6, or 15 per cent, who had a benign

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