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January 23, 1886

CARCINOMA OF THE CERVIX UTERI—TALIPES EQUINUS—FISTULA IN ANO.A Clinical Lecture Delivered at the Mercy Hospital, Chicago, December 5, 1885.

JAMA. 1886;VI(4):85-86. doi:10.1001/jama.1886.04250010093001

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This case appears to be cancer of the uterus. It is at least a fungous tumor, two and a half inches in diameter, filling the upper part of the vagina. It does not seem to have any adhesions to the walls of the vagina, but only to the cervix uteri. I will remove it cautiously, as the operation may be attended with some hæmorrhage, which we will check if necessary. I will first use the écraseur to remove the great body of the tumor, then I can use the curette. This growth covers nearly the entire cervix, so that I shall be obliged to remove its base by scraping. The body of the mass is now removed. The base of the growth is tough and does not yield to scraping very readily. We cannot, you know, cut very freely in this vicinity for fear of

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