A Retrospective Analysis of the Impact of Myomectomy on Survival in Uterine Sarcoma

PloS One
Zhenzhen GaoYuanguang Meng

Abstract

Laparoscopic myomectomy is a minimally invasive, conservative surgical approach commonly used for the treatment of uterine fibroids. However, there is a lack of effective means to distinguish the nature of uterine tumors prior to surgery. The impact of fibroid morcellation during laparoscopic surgery on the dissemination of cancerous uterine fibroids and long-term survival of patients has gained increasing attention. A retrospective cohort study was conducted to analyze the impact of different surgical approaches on recurrence-free survival (RFS) and overall survival (OS) in patients with a postoperative pathological diagnosis of uterine sarcoma at a single medical center. Patients who underwent the first surgery for uterine fibroids (confined to the uterus) and had a postoperative pathological diagnosis of uterine sarcoma were selected in the Chinese PLA General Hospital from January 2005 to January 2014. Based on the use of fibroid morcellation, the subjects were divided into fibroid morcellation (FM) and total hysterectomy (TH, non-morcellation) groups. Follow-up outcomes, including RFS and OS times, were observed. In total, 59 patients were included, with 30 cases in the FM group and 29 cases in the TH group. There were no ...Continue Reading

References

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Citations

May 24, 2018·BioMed Research International·Ahmed El-BalatSven Becker
Sep 14, 2019·Journal of the Chinese Medical Association : JCMA·Mozhdeh MomtahanMojgan Akbarzadeh-Jahromi

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Methods Mentioned

BETA
hysterectomy

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