Low-grade endometrial stromal sarcoma diagnosed 8 years after hysterectomy with morcellation

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Abstract

BACKGROUND:Morcellation at the time of minimally invasive hysterectomy or myomectomy for presumed benign indications carries a risk of disseminating undiagnosed uterine malignancies.CASE:A 57-year-old woman with a remote history of laparoscopic hysterectomy with morcellation of a cellular leiomyoma presented with a newly diagnosed complex pelvic mass. Owing to adherence of the mass to the rectum and numerous peritoneal tumor implants, a surgical cytoreductive procedure was performed. The pelvic mass, implants, and original hysterectomy specimen were histologically identical and consistent with low-grade endometrial stromal sarcoma. Owing to lack of tumor-myometrial interface on the original morcellated specimen, this malignant diagnosis was not made at the time of hysterectomy.CONCLUSION:Morcellation of the uterus can hinder an accurate pathologic diagnosis of uterine stromal neoplasms.

Original languageEnglish (US)
Pages (from-to)365-368
Number of pages4
JournalObstetrics and gynecology
Volume136
Issue number2
DOIs
StatePublished - Aug 1 2020

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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