Survey among ESGE members on leiomyosarcoma morcellation incidence

ConclusionThe survey demonstrated that myomectomy by hysteroscopy or laparoscopy has similar risks of sarcoma with an estimated incidence of 0.07%, much lower than that by laparoscopic hysterectomy and subtotal hysterectomy. Hence, for young patients with myoma infertility problem and low risk for LMS, myomectomy by MIS can be the first option of treatment. The fact that only 12.5% (216/1728) of uterine sarcoma cases are operated laparoscopically demonstrates the surgeons ’ awareness and alertness about LMS and the potential of spreading sarcomatous cells after myoma/uterus power morcellation.
Source: Gynecological Surgery - Category: OBGYN Source Type: research