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

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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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Informasi Detail

Judul Seri

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No. Panggil

Artikel

Penerbit

USA : Springer., 2015

Deskripsi Fisik

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Bahasa

English

ISBN/ISSN

DOI 10.1007/s10397-0

Klasifikasi

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

Subjek

Medicine
uterine tumors
patient triage

Info Detail Spesifik

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Pernyataan Tanggungjawab

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