Artigo Revisado por pares

Ruminal Leiomyosarcoma and Naturally Occurring Calicophoron daubneyi Infection in a Cow

2013; Elsevier BV; Volume: 148; Issue: 1 Linguagem: Inglês

10.1016/j.jcpa.2012.11.098

ISSN

1532-3129

Autores

M.C. Ferreras, Valentín Pérez Pérez, Camino González Lanza, Júlio Benavides, Mercedes Mezo, M. Fuertes, Marta González–Warleta, L. Delgado, Ana María Martínez-Ibeas, M. Yolanda Manga-González,

Tópico(s)

Uterine Myomas and Treatments

Resumo

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.

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