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March 13, 1886

MALIGNANT COLLOID. VEGETATIONS OF THE UTERUS.A Clinical Lecture delivered in the Hospital of the University of Pennsylvania, on February 10, 1886.

JAMA. 1886;VI(11):281-284. doi:10.1001/jama.1886.04250030029001

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The first case that I shall present to you to-day, gentlemen, is a case that has been sent to me because of difficulty in diagnosis. The case has been examined by several physicians, and as there exists great obscurity and difficulty in arriving at a positive opinion, it possesses more than usual interest. Such cases you will encounter, and they will puzzle you exceedingly unless you have seen such a case to guide you.

The patient is over 40 years of age, she has had six children, and you see how very greatly distended her abdomen is. Her menses have always been regular and during the last three months they have been very profuse. Now I ask her whether she has bleeding after sexual intercourse, and she tells me that she has. Why this should occur it is not hard to imagine, for it is due to the male organ

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