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January 14, 1911, Vol LVI, No. 2 >
ARTICLE | January 14, 1911

THE DIAGNOSIS OF OPERABILITY OF CARCINOMA OF THE UTERINE CERVIX

EMIL RIES, M.D.
JAMA. 1911;LVI(2):91-94. doi:10.1001/jama.1911.02560020007003.
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ABSTRACT

Operability is a condition dependent on the operator as much as on the patient. This obtains as much in operations for fibroids as in operations for carcinoma. What to one operator is an inoperable fibroid, presents to the other a moderately difficult task. In carcinoma the personal factor enters even more into the determination of operability. I know of surgeons who refuse to operate in any case of carcinoma of the cervix; others who will do only operations which have a low primary mortality; others again whom no amount of primary mortality can deter from the most desperate attempts. Each one of them has his own conception of operability, which, expressed in figures, would vary between zero and 80 per cent. of all cases.

Operability to one surgeon appears to be the condition in which it is possible to take out the carcinomatous uterus. Such a surgeon would probably have

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