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October 1, 1887


JAMA. 1887;IX(14):436-437. doi:10.1001/jama.1887.02400130020004

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Professor Heinrich Fritsch has recently contributed (Centralblatt für Gynäkologie, No. 25, 1887), the tabulated results of 60 operations for total extirpation of the carcinomatous uterus. From his paper it appears that 10 per cent. of the patients died from the effects of the operation, a mortality which corresponds to that of laparotomy in general. Of the survivors 20 thus far remain without recurrence; in 2 cases a period of more than 3 years has elapsed since the operation; in 7 cases more than 2 years have elapsed; while most of the other patients have already passed the most dangerous period—the first 6 months. From this Fritsch makes the point that after total extirpation of the carcinomatous uterus recurrence occurs less frequently than after operations for carcinoma in other localities; the reason for this being, probably, that the advance of the carcinomatous process in the lymphatics and the formation of metastases

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