Endometrial Stromal Sarcoma Diagnosed after Uterine Morcellation in Laparoscopic Supracervical Hysterectomy
Endometrial Stromal Sarcoma Diagnosed after Uterine Morcellation in Laparoscopic Supracervical Hysterectomy
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DOI：
10.1016/j.jmig.2010.07.001
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发表时间：
2010-11-01
影响因子：
4.1
通讯作者：
Karini, Homa
中科院分区：
文献类型：
--
作者：
Della Badia, Carl;Karini, Homa
子宫内膜间质肉瘤是一种罕见的子宫癌，术前诊断无可靠方法。一位30岁经产妇女因子宫平滑肌瘤接受腹腔镜子宫切除术。使用带旋转刀片的电动粉碎器从腹腔中取出子宫。病理报告显示为低度恶性子宫内膜间质肉瘤。初次手术后两个月，进行了第二次腹腔镜手术。最后的病理报告证实低级别子宫内膜间质肉瘤涉及卵巢，输卵管和卵巢动脉。结论是，如果肿瘤是肉瘤，在腹腔镜子宫切除术中对平滑肌瘤进行粉碎可能会增加转移。微创妇科学杂志（2010）17，791 -793（C）2010 AAGL。All rights reserved.
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. Journal of Minimally Invasive Gynecology (2010) 17,791-793 (C) 2010 AAGL. All rights reserved.