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June 20, 1953


JAMA. 1953;152(8):753. doi:10.1001/jama.1953.03690080097025

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Surgical Treatment of Cancer of Uterus.  —Professor Inguilla discussed the surgical treatment of cancer of the uterus at a meeting of the Filippo Pacini Medical Academy of Pistoia on Feb. 1. The main problem in surgical treatment of cancer of the uterus lies in the fact that this neoplasm invades the pelvic connective tissue early in the course of the disease, more rarely invades the lymph nodes of the pelvis, and only exceptionally diffuses outside the pelvis. Therefore, a surgical technique limited to simple removal of the uterus must be considered definitely unsuitable and contraindicated. On the other hand, only those surgical procedures that remove the connective tissue of the pelvis along with the uterus and possibly the pelvic lymph nodes should be considered.Many years ago the Vienna Gynecological School elaborated two surgical techniques to be used in this condition, i. e., Wertheim's abdominal method and Schauta's vaginal method.

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