Leiomyosarcoma after Total Laparoscopic Hysterectomy with Power Morcellation

Introduction. Power morcellation is an effective and minimally invasive technique used to remove specimen tissues or the uterus in total laparoscopic hysterectomy (TLH). However, it has the risk of intraperitoneal dissemination of tissue and can cause a parasitic myoma. We report a case of leiomyosa...

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Published inCase reports in obstetrics and gynecology Vol. 2019; no. 2019; pp. 1 - 4
Main Authors Yaegashi, Nobuo, Hayasaka, Atsushi, Imai, Noriaki, Ugajin, Tomohisa, Takahashi, Tsukasa, Otsuki, Takeo
Format Journal Article
LanguageEnglish
Published Cairo, Egypt Hindawi Publishing Corporation 2019
Hindawi
John Wiley & Sons, Inc
Hindawi Limited
Subjects
Abdomen
Case Report
Case reports
Cellular biology
Family medical history
Fibroids
Gynecology
Health aspects
Hysterectomy
Laparoscopic surgery
Laparoscopy
Leiomyosarcoma
Obstetrics
Ovarian cancer
Patients
Sarcoma
Surgery
Ultrasonic imaging
Uterine cancer
Women
United States > US
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Summary:Introduction. Power morcellation is an effective and minimally invasive technique used to remove specimen tissues or the uterus in total laparoscopic hysterectomy (TLH). However, it has the risk of intraperitoneal dissemination of tissue and can cause a parasitic myoma. We report a case of leiomyosarcoma that occurred 4 years after TLH with power morcellation for fibroids. Case. A 52-year-old woman was referred to our hospital with a pelvic mass. She was diagnosed to have submucosal fibroids and had undergone TLH with power morcellation 4 years previously. The uterus weighed 398 g at that time. At present, a parasitic myoma was suspected, owing to the diagnosis of fibroids on the initial pathological evaluation. She underwent laparotomy, and the tumor was removed. Although the pathological evaluation confirmed the tumor to be a leiomyosarcoma, a review of the initial tissue did not show the presence of any malignancy. Since there was no metastasis, she was followed-up without additional treatment. Conclusion. Even if the initial pathologic evaluation suggests a benign mass, parasitic myoma and even sarcoma can occur after TLH with power morcellation. Considering the risk of dissemination and occult malignancy, the use of power morcellation should be avoided if there are alternative options to remove the tumor.
Bibliography:Academic Editor: Erich Cosmi
ISSN:2090-6684
2090-6692
DOI:10.1155/2019/9381230