Abstract
Study Objective: To evaluate the accuracy in diagnosing endometrial disease after uterine morcellation. Design: Prospective case series. Setting: University medical center. Patients: Five women undergoing hysterectomy without morcellation because of benign indications and 5 women with endometrial cancer. Interventions: Uterine specimens were obtained from all 10 study patients. The uteri were sent for pathologic analysis, processed, and fixed according to standard protocols. A single investigator then morcellated all 10 uteri. A single pathologist blinded to specimen group reviewed each specimen. Main Results: The pathologist identified endometrial cancer in 4 of 5 specimens of known cancer. The fifth specimen was interpreted as benign despite the presence of grade 1, stage IA endometrial adenocarcinoma. None of the morcellated specimens could be staged. Conclusion: The increasing use of uterine morcellation will result in new challenges for gynecologic oncologists secondary to difficulty in detection, and accurate grading and staging of endometrial cancer.
Original language | English (US) |
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Pages (from-to) | 313-316 |
Number of pages | 4 |
Journal | Journal of Minimally Invasive Gynecology |
Volume | 19 |
Issue number | 3 |
DOIs | |
State | Published - May 2012 |
Keywords
- Cancer staging
- Uterine cancer
- Uterine morcellation
ASJC Scopus subject areas
- Obstetrics and Gynecology