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February 22, 1902


JAMA. 1902;XXXVIII(8):518. doi:10.1001/jama.1902.02480080028006

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Much recent literature on cancer of the cervix, both European and American, has been a plea for earlier diagnosis in this common and deadly form of uterine disease. Under present conditions patients so often present themselves too late for operative relief that some hospital records show nearly as many cases turned away as are received. Even when operation affords some hope it is generally performed so late that the necessary extensive removal of tissue gives a very high primary mortality and in the immediately convalescent cases renders great the chance of recurrence. The figures presented by even the more hopeful writers are disheartening—the freedom from recurrence is calculated as not higher than 10 per cent. There is now little to expect in the way of improved technic, so, barring any discovery of a non-surgical cure, the only hope is in the earliest possible diagnosis.

Early diagnosis of cervical carcinoma rests

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