Pelvic Neoplasms

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A painstaking study of the method of growth of uterine cancer worked out in many laboratories, as well as a careful consideration of the results following ordinary hysterectomy, have shown that a surgical cure can result only after all the ramifications of the growth have been removed. Laboratory workers have proved the uncertainty of clinical examinations; thus they have shown that a soft parametrium may be cancerous and that an infiltrated one may be free from cancer cells; also that carcinom...a- tous lymph glands may be of normal size. Thus, Wertheim, in 1907, proved that, in 22. 5 per cent of his cases, the parametria were soft on TREATMENT OF CANCER OF THE CERVIX 219 clinical examination, yet were found by microscopic examination to contain cancerous deposits, and that carcinoma could not be demon- strated in 14 per cent of parametria which were thickened and infil- trated. The parametria and lymphatic glands were involved together in 20 per cent of his cases. Kundrat, in 1903, found that the para- metria were free, but there was lymphatic involvement in 8 of his 80 cases.

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