Risk of occult malignancy in morcellated hysterectomy: a case series.

摘要: Uterine morcellation is performed only when significant neoplasia not anticipated. In this study, we aimed to determine the prevalence of unexpected pathology in a series low-risk morcellated hysterectomies. We reviewed consisting all patients undergoing hysterectomy with at tertiary-care hospital over 4-yr period (n=101). Patient records were retrieve demographics, details preoperative evaluation (Pap smear, endometrial biopsy, imaging), and surgical diagnoses. The median number blocks submitted for histology was 6. On final pathology, endometrium detected 99% cases. No endometrial, myometrial, or cervical other than leiomyoma (numerous cases) present uteri, but 1 case an atypical trophoblastic nodule necrosis myometrial infiltration, suspected represent epithelioid tumor, inadvertently morcellated. From series, prospective risk occult malignancy population estimated 1% (95% confidence interval, <0.01%-5.94%). A subgroup analysis who participated what propose as complete workup, nonconcerning Pap ultrasound magnetic resonance imaging, showed no findings on histology. Even however, uterine remains possibility. This should be discussed part informed consent before morcellation.