Transactions of the American Association of Obstetricians and Gynecologists for the year ... . From this,sections were made revealing adenocarcinoma (Fig. 4). Patientsrecovery from this operation was prompt and satisfactory. Shehas been well ever since, and has gained twenty-five pounds in weight. The writer hesitates to report so small a series of cases, but solittle has appeared on this subject in the literature since Nobles(3) classic article, that he hopes his report will prove of interest andvalue. The author wishes to state further that not all of the speci- THE CORPUS UTERI. 393 mens we
Transactions of the American Association of Obstetricians and Gynecologists for the year ... . From this,sections were made revealing adenocarcinoma (Fig. 4). Patientsrecovery from this operation was prompt and satisfactory. Shehas been well ever since, and has gained twenty-five pounds in weight. The writer hesitates to report so small a series of cases, but solittle has appeared on this subject in the literature since Nobles(3) classic article, that he hopes his report will prove of interest andvalue. The author wishes to state further that not all of the speci- THE CORPUS UTERI. 393 mens were subjected to microscopic examination. Had this beendone, a larger number of carcinomata might have been discovered. The following plan for examination was adopted. All specimenswere split open immediately after removal, and carefully examinedmacroscopically; if evidence of carcinoma was present, such speci-mens were then examined microscopically. In all cases where thehistory pointed to the possible existence of malignancy, the speci-mens were subjected to a microscopic Fig. 4. It is not difficult to make a diagnosis of myomata of the uterus;but it is frequently quite difficult to recognize the coexistence of car-cinoma of the body of the uterus and fibroid tumors. It is wellknown that a large percentage of uterine fibroids do not atrophvduring and after the menopause. It is also well known that womenhaving myomatous tumors are apt to continue to menstruate wellpast the average duration of the climacteric period. It might notbe far amiss to hazard the guess that women with fibroids, whosemenopause has been postponed considerably, might have carcinomaor sarcoma associated with it. The ultra conservative gynecologist of to-day advocates theremoval only of myomata endangering life; the more rational menrecommend that all myomata causing symptoms, or producingsterility, or interfering with labor, should be extirpated. There 394 H. W. HEWITT, exists, however, amon
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Keywords: ., bo, bookcentury1900, booksubjectgynecology, booksubjectobstetrics
