Unsuspected Diagnosis of Uterine Leiomyosarcoma after Laparoscopic Myomectomy in an Isolated Bag

Case Reports in Obstetrics and Gynecology
Süleyman SalmanÖzlem Sögüt

Abstract

Minimally invasive techniques are generally applied for patients suspected of having benign fibroids if medical treatment is insufficient. On the other hand, sometimes some occult carcinomas of uterus like leiomyosarcomas may be reported for the patients' applied morcellation. This condition is rare but outcomes are clinically significant. Fragmentation of occult sarcoma in the abdominal cavity without isolation bag results in widespread and poor survival. In this article, we report a case of 37-year-old woman suffering from pain due to unexpected leiomyosarcoma. Laparoscopic myomectomy was performed with power morcellation in an isolated bag. Although isolation bag is generally reported to be preventive, recurrence of sarcoma was seen at 5th month of follow-up. Even though morcellation within a bag seems to block wide spreading, dispersion of tumor cannot be stopped and more investigations have to be done.

References

Feb 19, 1999·Baillière's Clinical Obstetrics and Gynaecology·M A Lumsden, E M Wallace
May 12, 2012·Acta Obstetricia Et Gynecologica Scandinavica·Vibeke LerenErik Qvigstad
Jul 23, 2014·JAMA : the Journal of the American Medical Association·Jason D WrightDawn L Hershman
Feb 13, 2015·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Christine GarciaRamey D Littell
May 24, 2015·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Belina Carranza-MamaneUNKNOWN SPECIAL CONTRIBUTOR
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Dec 13, 2016·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Serdar KayaBasak Kaya

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hysterectomy

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