Excerpt from The Journal of Surgery, Gynecology and Obstetrics, 1907, Vol. 29
By radical treatment I mean nothing less than removal of the uterus; getting rid of a local condition that before we are aware may become disseminated, and pass beyond the possibility of eradication, for until internal medicine can offer more certainty than at present, in the treatment of malignant diseases, we have no other resource than removal of the pathological focus; and until the statistics of this demier ressort can give a more favor able showing, our hope must lie in anticipating the transition period, marked histologically by the earliest departure from normal cell manipulation, and structural arrangement, and clinically by well-marked manifestation of irregular functional activity.
Detailed examination of these two evidences of uterine disease would require more time than lies at my disposal, but to emphasize the contention I will ask you brief consideration of both phases of derangement, and in doing so, let us reverse the above order, and weigh the clinical aspect first. This is of necessity one with the functional life of the uterus, as all abnormal action finds its prototype in normal processes.
One fact impresses us most forcibly in contemplating the. Organism as a whole, and that is, that it is made up of many parts, each one passing through definite stages of develop ment towards maturity, which consists in the ability to assume and perform full functional activity. Thus much the uterus possesses in common with other organs. It reaches its maturity by well-marked stages, and when fully developed has a certain definite function to perform. But here the analogy ceases, rendering the uterus an organ peculiar to itself, with no counterpart among other organs.
After attaining its full functional capacity at puberty, that is the ability to house the growing embryo, the further exercise of this function is spasmodic, depending upon a combination of circumstances not entirely under the control of the individ ual. In one instance there is an aborted preparation for te production - menstruation - ia which the unimpregnated ovum occupies the uterus, and is cast off without further develop ment. With considerable justice it is held that the natural woman should never menstruate, this process showing a missed Opportunity for fecundation - the normal function of the uterus.
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