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Endometrial stromal sarcoma diagnosed after uterine morcellation in laparoscopic supracervical hysterectomy
Journal article   Peer reviewed

Endometrial stromal sarcoma diagnosed after uterine morcellation in laparoscopic supracervical hysterectomy

Carl Della Badia and Homa Karini
Journal of minimally invasive gynecology, v 17(6), pp 791-793
Nov 2010
PMID: 20955991

Abstract

Adult Endometrial Neoplasms - pathology Endometrial Neoplasms - surgery Female Humans Hysterectomy Laparoscopy Sarcoma, Endometrial Stromal - pathology Sarcoma, Endometrial Stromal - surgery
Endometrial stromal sarcoma is a rare uterine cancer with no reliable method for preoperative diagnosis. A 30-year-old parous woman underwent laparoscopic supracervical hysterectomy because of a leiomyoma. The uterus was removed from the abdominal cavity with an electric morcellator with a spinning blade. The pathology report revealed low-grade endometrial stromal sarcoma. Two months after the initial surgery, a second laparoscopic procedure was performed. The final pathology report confirmed low-grade endometrial stromal sarcoma involving the ovary, fallopian tube, and ovarian artery. It was concluded that morcellation of leiomyomas at laparoscopic supracervical hysterectomy may potentially increase metastasis if the tumor is a sarcoma.

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Web of Science research areas
Obstetrics & Gynecology
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