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.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6022265PMC
http://dx.doi.org/10.1155/2018/6342081DOI Listing

Publication Analysis

Top Keywords

leiomyosarcoma laparoscopic
8
laparoscopic myomectomy
8
isolated bag
8
isolation bag
8
bag
5
unsuspected diagnosis
4
diagnosis uterine
4
uterine leiomyosarcoma
4
myomectomy isolated
4
bag minimally
4

Similar Publications

Article Synopsis
  • - A 75-year-old woman with abdominal pain and elevated inflammatory markers had a CT scan that revealed a perforated mass in her small intestine, leading to surgery and the discovery of a small intestinal leiomyosarcoma (LMS) after initial suspicion of a gastrointestinal stromal tumor (GIST).
  • - The diagnosis of LMS is challenging and can often be misclassified as GIST due to similar features; imaging studies like CT can help but are not always conclusive.
  • - This case emphasizes the importance of recognizing LMS as a potential cause of bowel perforation, highlighting the need for accurate diagnosis, multidisciplinary management, and long-term follow-up due to the high risk of recurrence and metastasis.
View Article and Find Full Text PDF

Preoperative identification from occult leiomyosarcomas in laparoscopic hysterectomy and laparoscopic myomectomy: accuracy of the ultrasound scoring system (PRESS-US).

Radiol Med

December 2024

Department of Ultrasound, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China (UESTC), NO. 55, Section 4, Renmin South Road, Chengdu, 610041, China.

Purpose: To assess the diagnostic performance and inter-observer agreement of a PREoperative sarcoma scoring based on ultrasound (PRESS-US) in differentiating uterine leiomyosarcoma (uLMS) from leiomyoma (LM).

Methods: We conducted a retrospective evaluation of patients who underwent surgery and received standardized ultrasound examinations due to the presence of uterine myoma-like masses. Histological diagnosis was used as the reference standard.

View Article and Find Full Text PDF

Laparoscopic resection of a large primary pancreatic leiomyosarcoma (with video).

Hepatobiliary Pancreat Dis Int

September 2024

Division of Hepatobiliary and Pancreatic Surgery, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.

View Article and Find Full Text PDF
Article Synopsis
  • The Sicilian Regional Health System has implemented direct management procedures for medical malpractice claims, emphasizing sentinel event monitoring to enhance patient safety and reduce insurance costs.
  • A 28-year-old woman underwent laparoscopic surgery for uterine fibroids, but later discovered she had leiomyosarcoma after complications, ultimately leading to her death six months post-diagnosis.
  • The case raises concerns about informed consent, the use of the risky morcellation technique, and potential misdiagnosis, suggesting possible medical malpractice by the healthcare providers involved.
View Article and Find Full Text PDF

Rationale: Primary ovarian leiomyoma is a rare benign tumor. The exact histological origin and pathogenesis of primary ovarian leiomyoma are still unclear, while its preoperative imaging diagnosis is often challenging and prone to misdiagnosis. The study aims to elucidate the diagnosis of primary ovarian leiomyoma and to distinguish it from fibroma.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!