Abstract
To the Editor:— Reference is made to the article Operative Vs. Nonoperative Procedures for Uterine Fibroids, by Robert T. Frank (J. A. M. A. 140 :1001-1008 [July 23] 1949). In this article Dr. Frank advocates supravaginal hysterectomy in the treatment of fibromyomas of the uterus, mainly because he never has seen carcinoma arising in the stump. This doctrine is too dangerous to be left uncontradicted. In the material of our comparatively small hospital in the last two years we have treated forty-three histologically proved carcinomas of the cervix, seven of which arose in cervices left after supravaginal hysterectomy. While this material may not be statistically significant, it shows that the remaining cervical stump represents a definite danger to life, and this danger should be weighed carefully against the local discomfort encountered in a certain percentage of patients who have undergone complete hysterectomy.
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