Risk of unexpected uterine leiomyosarcoma during laparoscopic procedures: Experience from a single tertiary institute in Italy. Issue 2 (5th May 2021)

• Record Type: Journal Article
• Authors: Surace, Alessandra; Baù, Maria Grazia; Privitera, Sebastiana; Botta, Giovanni; Danese, Saverio; Plazzotta, Claudio; Mitidieri, Marco; Picardo, Elisa
• Is Part Of: International journal of gynaecology and obstetrics. Volume 156:Issue 2(2022)
• Page Start: 236
• Page End: 239
• Publication Date: 2021-05-05
• Subjects: laparoscopy -- leiomyosarcoma -- morcellation -- ultrasound -- uterine fibroids -- uterine sarcomas; Gynecology -- Periodicals; Obstetrics -- Periodicals; Electronic journals; 618
• DOI: 10.1002/ijgo.13701
• Languages: English
• ISSNs: 0020-7292

Abstract

Abstract: 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. Abstract : Data analysis 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.