Gynecological malignant neoplasias diagnosed after hysterectomy performed for leiomyoma in a university hospital

Purpose To analyze the findings of malignant neoplasms after hysterectomy for benign conditions Methods A retrospective study from January 1987 to December 2008 was conducted We analyzed all simple hysterectomies with or without salpingo oophorectomy for benign conditions (leiomyoma) Incomplete dossiers of patients or cases with uncertain clinical diagnostics were excluded We analyzed histopathological results age parity indications for hysterectomies with or without sail:ring oophorectomy stage (if malignant) and therapy Results 2 016 hysterectomies with or without salpingo oophorectomy were performed Of 2 016 652 (32 3%) had had a previous diagnosis of malignancy and 1 364 (67 7%) had had a clinical diagnosis of benignancy (leiomyoma) From the total of 1 364 three (0 22%) cases of cancer were diagnosed after anatomopathological study of the uterine specimen two sarcomas and one endometrial cancer No cases of incidental ovarian or uterine cervical cancer were diagnosed Conclusions Gynecological malignances in surgical specimens of patients submitted to surgery (hysterectomy and/or salpingo-oophorectomy) for benign conditions are rarely found