Risk of unexpected uterine leiomyosarcoma during laparoscopic procedures: Experience from a single tertiary institute in Italy
| Autor: | Marco Mitidieri, Claudio Plazzotta, Saverio Danese, Sebastiana Privitera, Alessandra Surace, Elisa Picardo, Giovanni Botta, Maria Grazia Baù |
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| Rok vydání: | 2021 |
| Předmět: |
Leiomyosarcoma
Laparoscopic surgery medicine.medical_specialty Uterine fibroids medicine.medical_treatment Morcellation Hysterectomy 03 medical and health sciences 0302 clinical medicine Uterine Myomectomy medicine Humans 030212 general & internal medicine Laparoscopy Retrospective Studies 030219 obstetrics & reproductive medicine Leiomyoma medicine.diagnostic_test Uterine sarcoma Uterine leiomyosarcoma business.industry Incidence (epidemiology) General surgery Obstetrics and Gynecology General Medicine medicine.disease Occult Uterine Neoplasms Female business |
| Zdroj: | International Journal of Gynecology & Obstetrics. 156:236-239 |
| ISSN: | 1879-3479 0020-7292 |
| DOI: | 10.1002/ijgo.13701 |
| Popis: | Objective To evaluate the incidence of occult uterine sarcomas and investigate whether an accurate and well-established preoperative assessment for uterine fibroids could help identify uterine sarcomas more effectively. Methods A retrospective analysis of patients who underwent gynecological laparoscopic surgery for presumed uterine fibroids at Sant'Anna Hospital, a single tertiary institute in Turin, Italy, between January 2003 and December 2019. Results Over the 17-year period, 5826 laparoscopic surgical procedures (myomectomies or subtotal/total hysterectomies) were performed for presumed uterine fibroids. A total of 48 patients with a final diagnosis of uterine sarcoma were identified, the majority of which (n = 39; 81.3%) were recognized as suspicious uterine sarcomas during the preoperative assessment, and morcellement was avoided. The occurrence of unexpected uterine sarcomas was 0.1% (6/5826). Morcellation was conducted in one patient with uterine sarcoma. Conclusion Analysis of our data showed that unexpected uterine sarcomas are uncommon. Accurate preoperative evaluation can help avoid, but does not exclude, the possibility of morcellation of unknown uterine sarcomas. |
| Databáze: | OpenAIRE |
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