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February 1939, Vol 38, No. 2 >
ARTICLE | February 1939

ENDOMETRIOSIS

HOWARD C. CLARK, M.D.
Arch Surg. 1939;38(2):261-273. doi:10.1001/archsurg.1939.01200080073006.
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Endometriosis, or adenomyoma, does not occur frequently as a clinical entity. However, it can no longer be regarded as a pathologic curiosity. Cullen in 1,283 cases of myoma found adenomyoma in 73, or 5.7 per cent. MacCarty and Blackman at the Mayo Clinic reported a series of 3,398 cases of fibromyoma, in which 211, or 6.4 per cent were instances of endometriosis. Tyrone reported similar statistics. Sampson reported 332 laparotomies, with endometrial implants in 98 or 29 per cent. This percentage is high, but endometriosis is his specialty and he has constantly been looking for these lesions. His classic work has established endometriosis as an important condition. Statistics show that in the majority of cases the condition is undiagnosed before operation. With this point in mind, I reviewed the literature and analyzed the cases of endometriosis observed at the St. Francis Hospital and the Sedgwick County Hospital from 1931 to

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