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To the Editor:—
Perhaps Dr. Dale's reaction would be less vehement if I defined "reproductive period" and "cancer." The reproductive period is that period during which women usually have babies. This is not synonymous with the period of menstruation. Many women menstruate past 50 years of age but extremely few become pregnant in these years. In 65,000 deliveries at the Johns Hopkins Hospital there was only one woman over 47 years of age, and at the Chicago Lying-in Hospital, in over 50,000 deliveries, there were only 2 women of 46 and 2 of 48 years of age.By the word "cancer" I mean "invasive cancer." Articles dealing with radical hysterectomy and radiation therapy for malignancy simply use the term "cancer" or "carcinoma of the cervix." In all instances where cancer in situ is discussed, the entire term is used and not simply the word "cancer." If we contrast the 2
Greenhill JP. Cervical Cancer-Reply. JAMA. 1962;179(13):1033. doi:10.1001/jama.1962.03050130037015
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