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The latter operation is he patient is near the menopause and has a large tumor which as suddenly taken on activity, the tendency of such a tumor o become malignant being much greater than where it is of Removal of the appendages ought to be merely a dernier esort, as it practically never cures, and does not always even ubmucous and not pedunculated, and the cervix can not be unior is either interstitial, large and subserous without a y most operators on the continent of Europe and on this side f a skilled operator it is less dangerous than myomectomy by nucleation or morcellement.

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