Journal
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
Volume 23, Issue 6, Pages 1009-1011Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jmig.2016.06.017
Keywords
Isolation bag; Laparoscopy; Leiomyosarcoma; Morcellation
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The diagnosis of an unsuspected leiomyosarcoma after hysterectomy for the treatment of a presumed benign leiomyoma is a rare but highly clinically significant event. In order to facilitate removal of large uterine specimens using a minimally invasive surgical approach, morcellation with extraction in pieces is often performed. In the event of unsuspected malignancy, this may result in abdominal dispersion of the tumor and contribute to poorer survival. In the present article, we report a case of contained power morcellation of an unsuspected high-grade leiomyosarcoma with 2 years of follow-up. Although further study is necessary, this technique may minimize the risk that women undergoing laparoscopic hysterectomy with morcellation have a worse prognosis when diagnosed with an unexpected malignancy. (C) 2016 AAGL. All rights reserved.
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