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Article
November 10, 1917

CARCINOMA OF PROSTATE: AN IMPROVED TECHNIC FOR RADICAL EXCISION WITH PRESERVATION OF URINARY CONTROL

Author Affiliations

BALTIMORE

From the James Buchanan Brady Urological Institute, the Johns Hopkins Hospital.

JAMA. 1917;LXIX(19):1591-1597. doi:10.1001/jama.1917.02590460017004
Abstract

In 1905, I presented a radical operation1 for the cure of cancer of the prostate, and showed by an exhaustive study of a large number of clinical cases that the disease was far more common than usually supposed. At that time sixty-eight cases of carcinoma had been encountered in five years, during which time 250 cases of benign hypertrophy were seen, making 21 per cent, of carcinoma. Since then, there have been numerous confirmatory publications. The statistics of Oliver Smith give a proportion of 16 per cent.; of Davis, 20 per cent.; of Kummell, 20 per cent.; Pauchet, 20 per cent., and Mullin, 25 per cent. Wilson and McGrath, studying 469 specimens removed by prostatectomy at the Mayo Clinic, found that 15.5 per cent. were cancerous. These confirmatory statistics show that cancer of the prostate is a very common disease, and that it presents a serious problem to the

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