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ORIGINAL RESEARCH article

Front. Oncol.
Sec. Gynecological Oncology
Volume 14 - 2024 | doi: 10.3389/fonc.2024.1434720
This article is part of the Research Topic Management of Rare Oncological Cases View all 27 articles

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

Provisionally accepted
Jianhao Sun Jianhao Sun Xinjuan Jiao Xinjuan Jiao Zhenzhen Wu Zhenzhen Wu Tingting Yao Tingting Yao Shumei Tuo Shumei Tuo Yueyuan Wang Yueyuan Wang Ruirong Chen Ruirong Chen Jing He Jing He Jifang Qian Jifang Qian Shengfang Xu Shengfang Xu Qing Liu Qing Liu *
  • Gansu Provincial Maternal and Child Health Hospital, Lanzhou, Gansu Province, China

The final, formatted version of the article will be published soon.

    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.

    Keywords: Uterine sarcomas, Morcellation, Laparoscopy, Undifferentiated sarcomas, Tumor spread 1. BackgroundIntroduction

    Received: 18 May 2024; Accepted: 24 Jul 2024.

    Copyright: © 2024 Sun, Jiao, Wu, Yao, Tuo, Wang, Chen, He, Qian, Xu and Liu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Qing Liu, Gansu Provincial Maternal and Child Health Hospital, Lanzhou, 730046, Gansu Province, China

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