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March 14, 1914


Author Affiliations


From the Gynecological and Pathological departments of the Johns Hopkins Hospital and University.

JAMA. 1914;LXII(11):835-839. doi:10.1001/jama.1914.02560360015006

At the meeting of the Canadian Medical Association in June, 1913, I incidentally referred to two cases of this character that had recently come under my care.1

This group of cases has in large measure escaped the attention of the surgeon. They are, however, of much interest not only to the pathologist but also to the operator.

Several months ago Dr. D. S. D. Jessup of New York, sent me slides from two pelvic tumors. In each case the tumor had been attached to the cervix posteriorly and had grown into the rectal wall. In each case the growth was so firmly fixed that, while the surgeon was doing a complete abdominal hysterectomy, he was compelled to remove at the same time a piece of the anterior rectal wall, as it was absolutely impossible to separate the uterus from the rectum. The slides that I examined showed non-striped muscle

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