Clinical features of uterine sarcomas presenting mainly with uterine masses: a retrospective study

Autor: Menghan Zhu, Shouzhen Chen
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: BMC Women's Health, Vol 23, Iss 1, Pp 1-5 (2023)
Druh dokumentu: article
ISSN: 1472-6874
DOI: 10.1186/s12905-023-02517-7
Popis: Abstract Background Uterine sarcomas are uncommon mesenchymal tumors of the uterus. The clinical problem is that the features of uterine sarcomas can sometimes mimic uterine fibroids. This study aims to investigate the clinical characteristics of patients with uterine sarcomas who were preoperative presenting mainly with uterine masses. Methods A retrospective analysis of patients who underwent gynecological surgery for uterine sarcomas at the Obstetrics & Gynecology Hospital of Fudan University, between January 2016 and December 2021. Results Over the 5-year period, 277 patients were final diagnosed of uterine sarcomas. A total of 162 patients were preoperatively diagnosed as uterine fibroids for surgical treatment, the majority of whom were diagnosed of uterine leiomyosarcoma (uLMS) (49/162) and low-grade endometrial stromal sarcoma (LG-ESS) (100/162). Ninety people underwent total hysterectomy and bilateral salpingo-oophorectomy (TH + BSO), while 72 underwent myomectomy followed by supplemental TH + BSO. The group with direct hysterectomy had a higher average age than the group with prior myomectomy (47.20 ± 8.94 vs. 40.86 ± 5.88, p
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