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October 21, 1905


Author Affiliations


JAMA. 1905;XLV(17):1238-1243. doi:10.1001/jama.1905.52510170030001e

During the last few years there has appeared in the surgical literature a number of articles wherein the writers have advocated the removal of practically all fibromyomata of the uterus. This position has been taken for the most part on the ground that in many cases complications threatening life, such as the various diseases of the tubes and ovaries, etc., were found which warranted the removal of these structures together with the uterus itself.

It is my purpose to urge that in a very large proportion or in practically all fibroid tumors there exists in the tumor itself at the time of diagnosis, or will exist with considerable degree of certainty at some future time, conditions which warrant their removal, or that the tumor will sooner or later produce such conditions elsewhere. I do this with the full realization that there come to the autopsy room numerous cases wherein such