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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 209 - 2,015 (1807page)
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ObjectiveTo determine the incidence of accidentally diagnosed genital malignancies in women undergoing gynecologicalsurgeries for pathologies presumed to be benign. MethodsData of all women who underwent hysterectomy for benign indications were retrieved from hospital records. A totalof 628 cases of hysterectomy and 35 cases of myomectomy were included. The final histopathology was accessedthrough the computer records, and the total number of genital tract malignancies was included. ResultsThe incidence of occult uterine, ovarian, and cervical malignancies in women undergoing hysterectomy was 0.47%,0.31%, and 0.15%, respectively. The incidence of uterine corpus malignancies in women undergoing myomectomywas 2.8%, and 3 cases of smooth muscle tumor of uncertain malignant potential (STUMP) were also identified. Endometrial stromal sarcomas were the most common pathology among uterine malignancies, followed byleiomyosarcoma and endometrial adenocarcinoma. ConclusionPostoperative diagnosis of malignancies in women undergoing surgery for benign indications poses great challengesto the treating surgeon. Occult malignancies must be ruled out by thorough preoperative assessment, especially insome subsets of women. Morcellation is an inevitable technique and complement to laparoscopic surgeries, althoughlittle chances of malignancy spread is related to its use. Nevertheless, thorough preoperative investigations and alwaysensuring contained morcellation can minimize these chances.
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참고문헌 (17)
참고문헌 신청
Cohen SL / 2014 / Updated hysterectomy surveillance and factors associated with minimally invasive hysterectomy / JSLS 18:e2014.0009
Mahnert N / 2015 / Unexpected gynecologic malignancy diagnosed after hysterectomy performed for benign indications / Obstet Gynecol 125:397~405
Rivard C / 2012 / New challenges in detecting, grading, and staging endometrial cancer after uterine morcellation / J Minim Invasive Gynecol 19:313~316
U.S. Food and Drug Administration / FDA safety communication. UPDATED: laparoscopic uterine power morcellation in hysterectomy and myomectomy
Ramm O / 2012 / Utility of preoperative endometrial assessment in asymptomatic women undergoing hysterectomy for pelvic floor dysfunction / Int Urogynecol J Pelvic Floor Dysfunct 23:913~917
Mahnert N / 2015 / Unexpected gynecologic malignancy diagnosed after hysterectomy performed for benign indications / Obstet Gynecol 125:397~405
Rivard C / 2012 / New challenges in detecting, grading, and staging endometrial cancer after uterine morcellation / J Minim Invasive Gynecol 19:313~316
U.S. Food and Drug Administration / FDA safety communication. UPDATED: laparoscopic uterine power morcellation in hysterectomy and myomectomy
Ramm O / 2012 / Utility of preoperative endometrial assessment in asymptomatic women undergoing hysterectomy for pelvic floor dysfunction / Int Urogynecol J Pelvic Floor Dysfunct 23:913~917
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