ArticleObstetrics & gynecology science2021
Risk of incidental genital tract malignancies at the time of myomectomy and hysterectomy for benign conditions.
Article in Obstetrics & gynecology science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Hysterectomy trends and outcomes: an ambispective audit from a tertiary institute in Northern India.Obstetrics & gynecology science · 2026Article
- Evaluation of pre-operative endometrial biopsy accuracy and etiological distribution in abnormal uterine bleeding using the PALM-COEIN classification.Frontiers in medicine · 2026Article
- [Prevalence of unexpected malignant disease in the histopathology of hysterectomy indicated for benign condition].Revista colombiana de obstetricia y ginecologia · 2024Article
- Incidence and Predictors of Unexpected Malignancy in Benign Myomectomy or Hysterectomy.Cureus · 2024Article
- Hereditary breast and ovarian cancer triggered by occult fallopian tube cancer: a case report.Journal of medical case reports · 2023Article
- Recurrence of Uterine Smooth Muscle Tumor of Uncertain Malignant Potential: A Systematic Review of the Literature.Cancers · 2022Review
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Authors and funding
6 authors.
Funding
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Abstract
objectiveTo determine the incidence of accidentally diagnosed genital malignancies in women undergoing gynecological surgeries for pathologies presumed to be benign.
methodsData of all women who underwent hysterectomy for benign indications were retrieved from hospital records. A total of 628 cases of hysterectomy and 35 cases of myomectomy were included. The final histopathology was accessed through the computer records, and the total number of genital tract malignancies was included.
resultsThe incidence of occult uterine, ovarian, and cervical malignancies in women undergoing hysterectomy was 0.47%, 0.31%, and 0.15%, respectively. The incidence of uterine corpus malignancies in women undergoing myomectomy was 2.8%, and 3 cases of smooth muscle tumor of uncertain malignant potential (STUMP) were also identified. Endometrial stromal sarcomas were the most common pathology among uterine malignancies, followed by leiomyosarcoma and endometrial adenocarcinoma.
conclusionPostoperative diagnosis of malignancies in women undergoing surgery for benign indications poses great challenges to the treating surgeon. Occult malignancies must be ruled out by thorough preoperative assessment, especially in some subsets of women. Morcellation is an inevitable technique and complement to laparoscopic surgeries, although little chances of malignancy spread is related to its use. Nevertheless, thorough preoperative investigations and always ensuring contained morcellation can minimize these chances.
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