Alban Doran. Two cases of small ovarian tumours simulating uterine fibroid; removal; recovery (Brit. Med. Journ. lune 4, 1892). Two cases of small ovarian tumors mimicking uterine fibroids.

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Both cases reported by the author have the following clinical and surgical interest: in both - the tumor was not large and so tightly connected to the uterus that the uterus and tumor moved together; this made one suspect the existence of a uterine fibroid. On the other hand, the age (30 and 24 years) of the patients and the relatively rapid growth of the tumor spoke in favor of ovarian disease, although, again, fibroids can appear in young women and grow quickly, moreover, the indication of the patients themselves regarding tumor growth is usually very erroneous and they deserve full confidence. Under such conditions, exploratory charevoschene was not only justified, but also directly demonstrated. The result of the operation really showed that the further waiting would only increase the danger of the later operation. An ovarian tumor cannot be removed early enough, and this rule is made even more mandatory for the surgeon when the bimanual examination and probe indicate a tight connection of the tumor with the uterus. Removal of a large ovarian tumor with a very short stem or without a stem is an extremely serious operation.

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F. Kuhn

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