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THE CONSERVATIVE SURGEON AND THE SYMPTOMLESS UTERINE FIBROID.

THOMAS B. EASTMAN, M.D.
JAMA. 1908;LI(12):972-974. doi:10.1001/jama.1908.25410120016002b.
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From time to time various operators have shown that in a considerable percentage of cases of fibromyoma of the uterus there have been found complications which, in their opinion, would in time bring about a fatal termination. The existence of such complications has been brought forth as constituting an argument in favor of the removal on diagnosis of all fibromyomata regardless of whether the symptoms at the time of diagnosis were threatening or not.

It is, of course, a question as to whether a complication such as a cystic tumor of the ovary, for instance, coexistent with a fibromyoma, constitutes a reason for the removal of the latter, any more than a fibromyoma constitutes a reason for the removal of a cystic tumor of the ovary. Does or does not the fibromyoma itself present probabilities, present and future, of such gravity as to warrant operation?

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