Abstract
At the ellis fischel State Cancer Hospital 163 carcinomas of the cervical stump were treated between 1940 and 1960. Eighty-one of these cases were classified as carcinomas of the true cervical stump, because the first symptom leading to the diagnosis of carcinoma was noticed three or more years after subtotal hysterectomy done for a benign condition. The remaining 82 are classed as coincidental, because symptoms were noticed before the third postoperative year. In no instance was the primary operation performed at our hospital. The importance of distinguishing between true and coincidental carcinoma of the cervical stump is borne out in the literature. All authors but one, Holmes in England, agree that the prognosis for carcinoma of the true stump is two to three times more favorable than for coincidental cases. The distinction has generally been made in terms of the time of occurrence of the cancer symptoms after surgery. Among the 46 authors listed in Table I, there is a wide range of opinion as to the ...
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