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JAMA. 1891;XVI(26):914-915. doi:10.1001/jama.1891.02410780014001f.
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History.—Mrs. C. N., a farmer's wife from Kansas, was sent to me by her family physician in May, 1885; she was 41 years of age, five feet 6 inches high, natural weight 96 lbs., brown hair mixed with gray, blue eyes. Had always been in good health, quiet temperament, menstruation regular, of late years some leucorrhœa. A small tumor in pelvic cavity, of about two years' growth.

Diagnosis. — Fibroid of the uterus. Ovaries not implicated.

Refused to operate, advised the patient to go home and wait until her climacteric period had passed; if by that time the tumor had not increased very much, and she would be well otherwise, then the tumor would very likely cease growing, or even atrophy, after she had passed the critical period, and need no interference. If, however, the tumor should become larger, to return, and we would see what would be best to


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