ArticleAmerican journal of obstetrics and gynecology2015
Uterine sarcomas and parasitic myomas after laparoscopic hysterectomy with power morcellation.
Article in American journal of obstetrics and gynecology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- In-Bag Morcellation as a Routine for Laparoscopic Hysterectomy.BioMed research international · 2017Trial
- Article
- Article
- Acute abdomen by red degeneration of a parasitic leiomyoma: A case report and literature review.Radiology case reports · 2024Article
- Rate of Leiomyosarcomas during Surgery for Uterine Fibroids: 8-Year Experience of a Single Center.Journal of clinical medicine · 2023Article
- Contained Power Morcellation in Laparoscopic Uterine Myoma Surgeries: A Brief Review.Healthcare (Basel, Switzerland) · 2023Review
- Parasitic myoma after transabdominal hysterectomy for fibroids: a case report.BMC women's health · 2023Article
- Case study of colorectal endometriosis treated with endoscopic submucosal excavation.Frontiers in physiology · 2023Article
- Leiomyosarcoma Occurring After Hysterectomy for Benign Fibroids: A Case Report.Journal of obstetrics and gynaecology of India · 2022Article
- Leiomyomatosis peritonealis disseminata in laparoscopic port site and abdomino-pelvic cavity: A case report.Radiology case reports · 2022Article
- Safety Warning about Laparoscopic Power Morcellation in Hysterectomy: A Cost-Effectiveness Analysis of National Impact.Women's health reports (New Rochelle, N.Y.) · 2022Article
- Morcellation in gynecology: short review and suggestions from Turkish Society of Minimally Invasive Gynecologic OncologyJournal of the Turkish German Gynecological Association · 2021Article
- Prognostic Implication of Primary Treatment of Uterine Low-grade Endometrial Stromal Sarcoma: a Case Series.Indian journal of surgical oncology · 2020Article
- Morcellation of the Uterus: Is There Any Place?Current oncology reports · 2020Review
- A comparative study on the short-term clinical efficacy of the modified laparoscopic uterine comminution technique and traditional methods.Molecular and clinical oncology · 2020Article
- Leiomyosarcoma after Total Laparoscopic Hysterectomy with Power Morcellation.Case reports in obstetrics and gynecology · 2019Article
- Unexpected uterine sarcomas after hysterectomy and myomectomy for presumed leiomyoma: a retrospective study of 26,643 patients.Cancer management and research · 2019Article
- Laparoscopic hysterectomy with morcellation vs abdominal hysterectomy for presumed fibroids: an updated decision analysis following the 2014 Food and Drug Administration safety communications.American journal of obstetrics and gynecology · 2017Article
- Is Laparoscopic Power Morcellation of Fibroids a Cardinal Sin in 2017?Journal of obstetrics and gynaecology of India · 2017Article
- Outcome and Management of Uterine Leiomyosarcoma Treated Following Surgery for Presumed Benign Disease: Review of Literature.Gynecology and minimally invasive therapyReview
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7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe purpose of this study was to describe the incidence and risk factors for uterine sarcomas and parasitic myomas at the time of power morcellation. STUDY
designWe performed a retrospective review of 3523 women who underwent laparoscopic hysterectomy from 2001-2012. Univariate analyses were used for the morcellation cases to identify potential risk factors. Multivariable logistic regression was performed.
resultsNine hundred forty-one patients underwent power morcellation at the time of hysterectomy; 10 of 941 patients (1.1%) were diagnosed subsequently with uterine sarcomas or parasitic myomas. The overall incidence of uterine sarcoma was 6 of 941 (0.6%), with a median age of 47 years (range, 41-52 years). There was no association among any of the factors analyzed and uterine sarcoma. Three of 6 patients had sarcoma diagnosed on initial pathologic evaluation of the morcellated specimen; 3 patients had delayed diagnosis of sarcoma with benign disease at the time of the initial procedure (median time to second evaluation, 6 years). For parasitic myomas (n=4), the median age was 35 years (range, 32-40 years), and the median time to second evaluation was 5 years. On multivariate analysis, age<40 years (odds ratio, 26; 95% confidence interval, 2.7015-261.9; P≤.01) was associated with higher risk of the development of parasitic myomas.
conclusionUterine sarcoma was found in 0.6% of patients who underwent power morcellation but was not found to be associated significantly with any preoperative factors. All 6 cases were noted to have apparent fibroid tumors as an indication for their hysterectomy. Age<40 years was a risk factor for parasitic myomas after power morcellation. Patients should be counseled about these complications before power morcellation.
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