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Article
December 4, 1897

THE DESTINY OF VAGINAL HYSTERECTOMY FOR MALIGNANT DISEASE.

Author Affiliations

KANSAS CITY, MO.

JAMA. 1897;XXIX(23):1137-1141. doi:10.1001/jama.1897.02440490003001a

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Abstract

It is not my expectation to present any strikingly new features in reference to the subject. I would offer, rather, a few conclusions gleaned from personal experience and from the current literature of today, with the hope that a liberal discussion will follow, the crystallization of which may result in good and lead to a clearer understanding of the conditions met with in malignant uterine disease, and the more rational surgical procedures indicated for the removal of the same.

So far as this occasion is concerned, it matters not whether we accept Cohnheim's theory that "the only cells capable of originating neoplasms are those sequestered during embryonic life," or with Williams believe that "neoplasms are of intrinsic origin, due to a modification of the formative process by abnormal forces generated within the body, rather than extrinsic, due to inflammation or to the intrusion of microorganisms," or favor the more recent

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