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April 1, 1899


Author Affiliations

Professor of Gynecology, Jefferson Medical College; Gynecologist to St. Joseph's and Jefferson Hospitals; Ex-President of the Pennsylvania State Medical and Philadelphia Obstetrical Societies. PHILADELPHIA, PA.

JAMA. 1899;XXXII(13):699-701. doi:10.1001/jama.1899.92450400017002a

Submucous fibroid.  —One week ago I brought this patient before you, and removed a fibroid growth which had been extruded from the cavity of the uterus into the vagina. This condition is recognized as submucous fibroid, or submucous polypus. The tumor, hung by a pedicle, was very easily twisted off; but the principal difficulty was in the subsequent removal of the tumor. The patient has done well; there has been no abnormal range of temperature, and her condition is excellent. She sits up to day. Such growths are not unfrequently a source of considerable difficulty in diagnosis. Thus, where the pedicle, or a portion of the tumor is closely constricted by the uterus and sloughing or gangrene of a portion of the tumor results, which causes very profuse discharge, not infrequently hemorrhages, the physician, unless careful in making examination, is led to believe that a malignant disease exists. The digital

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