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March 28, 1908


JAMA. 1908;L(13):1033. doi:10.1001/jama.1908.25310390031003a

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At this time of early diagnosis and surgical activity it is unusual to find large uterine myomata. The following case is of interest because of the size of the tumor, the large number of separate nodules, and because of certain difficulties met with in its removal.

Patient.  —Woman, aged 39 years. Menstruation had always been regular since the thirteenth year, but very painful. She was married at 31 years, but never conceived.

History.  —Four years ago she noticed a tumor in her abdomen and felt pain in the stomach. A diagnosis of tumor was made by a physician at that time. Menstruation became more and more painful, and two years ago metrorrhagia appeared. During one of these attacks of painful menstruation, the patient claims she was presented at a clinic where an obstetrician attempted to turn the supposed fetus. One year ago she began having attacks of urinary retention requiring

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