As early as 1894, as a result of the observation of the clinical history of women suffering from fibroid tumors, I became convinced of the fallacy of the classical teachings concerning the natural history of these tumors. At that time I had operated on but thirty women suffering from fibroid tumors. In the conclusion of a paper read in 1894,1 I said:
The comparatively small number of operations which I have done for fibroid tumors is evidence of the fact that for a long time I was profoundly influenced in my practice by the classical teaching concerning this disease. It was not until my own observations convinced me of the fallacies of the past teaching that I felt justified in resorting to the removal of fibroid tumors except in the worst class of cases. I am coming more and more to believe, however, that it is the part of
NOBLE CP. FIBROID TUMORS OF THE UTERUS.A STUDY OF THE DEGENERATIONS AND COMPLICATIONS IN TWENTY-TWO HUNDRED AND SEVENTY-FOUR CASES,† ALSO A STUDY OF FORTY-EIGHT HUNDRED AND EIGHTY CONSECUTIVE CASES IN THEIR RELATION TO CARCINOMA AND SARCOMA OF THE UTERUS. JAMA. 1906;XLVII(23):1881–1886. doi:10.1001/jama.1906.25210230017001d
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