Intraperitoneal spread in uterine sarcoma following unprotected laparoscopic transvaginal uterine morcellation: a case report and literature review

被引：0

作者：

Sun, Jianhao ^{[1
,2
]}

Jiao, Xinjuan ^{[3
]}

Wu, Zhenzhen ^{[1
]}

Yao, Tingting ^{[1
]}

Tuo, Shumei ^{[1
]}

Wang, Yueyuan ^{[1
]}

Chen, Ruirong ^{[1
]}

He, Jing ^{[1
]}

Qian, Jifang ^{[1
]}

Xu, Shengfang ^{[1
]}

Liu, Qing ^{[1
]}

机构：

[1] Gansu Prov Matern & Child Care Hosp, Lanzhou, Gansu, Peoples R China

[2] Yangzhou Univ, Clin Med Coll, Yangzhou, Jiangsu, Peoples R China

[3] Qingyang Second Peoples Hosp, Qingyang, Gansu, Peoples R China

来源：

FRONTIERS IN ONCOLOGY | 2024年 / 14卷

关键词：

uterine sarcomas; morcellation; laparoscopy; undifferentiated sarcomas; tumor spread; TISSUE EXTRACTION; HYSTERECTOMY; MYOMECTOMY;

D O I：

10.3389/fonc.2024.1434720

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Clinically and through auxiliary examinations, distinguishing uterine leiomyoma from early-stage uterine sarcoma presents significant challenges. A 48-year-old patient underwent a laparoscopic hysterectomy for uterine leiomyoma, during which a large uterus was excised through the vagina and extracted. Four months post-operation, the patient developed abdominal distension, indicative of extensive pelvic-abdominal dissemination of uterine sarcoma. We hypothesize that unprotected fibroid fragmentation increases the risk of uterine sarcoma spread, thereby worsening the prognosis. Our literature review aims to thoroughly understand the risks associated with unprotected transvaginal laparoscopic tumor division.

引用

页数：6

共 29 条

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