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Morcellation of presumed benign uterine tumors: abandon the technique or patient triage?



Morcellation of uterine leiomyomas became a hot issue when Amy Reed, MD, an anesthesiologist at Beth Israel Hospital in Boston, underwent this procedure in October 2013. However, an unsuspected uterine leiomyosarcoma was morcellated and could have worsened her prognosis by spreading the cancer around her abdomen. Since that moment, Dr. Reed’shusband, cardiothoracic surgeon Hooman Noorchashm, MD, PhD, has led a campaign calling for a ban on morcellation. Uterine leiomyomas are present in approximately 40 % in women of 40–50 years of age. These benign tumors should be discerned from malignant counter parts including leiomyosarcoma (LMS), smoothmuscle tumours of unknownmalignant poten-tial (STUMP), endometrial stromal sarcoma (ESS), undiffer-entiated sarcoma (rare, high grade), adenosarcoma (rare, low grade) and very rare tumors including angiosarcoma, hemangio pericytoma, pleomorphic, liposarcoma, desmoplastic, Gastro Intestinal Stromal Tumor…Incidence rates obtained from NORDCAN and NOCCA databases dur-ing the study-period 1978–2007, were about 0.3 per 100,000 for ESS and about 0.4 per 100,000 for LMS in Denmark, Finland, Iceland, and Norway [1]. In Norway, 419 uterine sarcomas were registered from 1970–2000



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Judul Seri
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No. Panggil
Artikel
Penerbit Springer : USA.,
Deskripsi Fisik
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Bahasa
English
ISBN/ISSN
DOI 10.1007/s10397-0
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NONE
Tipe Isi
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Tipe Media
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Tipe Pembawa
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Edisi
Gynecol Surg (2015) 12:1–2
Subyek
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