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Incidental leiomyosarcoma found at the time of cesarean hysterectomy for morbidly adherent placenta
BACKGROUND: Incidental leiomyosarcoma (LMS) is a rare diagnosis in pregnancy or in the puerperium. To our knowledge, this is the first case reported in the literature of incidental LMS after cesarean hysterectomy for morbidly adherent placenta. CASE: We present a case of a cesarean hysterectomy perf...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5423326/ https://www.ncbi.nlm.nih.gov/pubmed/28508030 http://dx.doi.org/10.1016/j.gore.2017.04.007 |
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author | Hand, Lauren C. Gimovsky, Alexis C. Chan, Joanna S.Y. Rosenblum, Norman G. Kim, Christine H. |
author_facet | Hand, Lauren C. Gimovsky, Alexis C. Chan, Joanna S.Y. Rosenblum, Norman G. Kim, Christine H. |
author_sort | Hand, Lauren C. |
collection | PubMed |
description | BACKGROUND: Incidental leiomyosarcoma (LMS) is a rare diagnosis in pregnancy or in the puerperium. To our knowledge, this is the first case reported in the literature of incidental LMS after cesarean hysterectomy for morbidly adherent placenta. CASE: We present a case of a cesarean hysterectomy performed for a suspected morbidly adherent placenta in a patient with three prior cesarean deliveries, an anterior placenta previa and a fundal fibroid. Subsequent pathology identified a LMS on final specimen. The patient declined bilateral oophorectomy and removal of her remaining cervix. No chemotherapy or radiation was given for her presumed stage IB disease. CONCLUSION: An incidental finding of a LMS is infrequent; the risk of recurrence is > 50% even if the sarcoma is removed in its entirety. |
format | Online Article Text |
id | pubmed-5423326 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-54233262017-05-15 Incidental leiomyosarcoma found at the time of cesarean hysterectomy for morbidly adherent placenta Hand, Lauren C. Gimovsky, Alexis C. Chan, Joanna S.Y. Rosenblum, Norman G. Kim, Christine H. Gynecol Oncol Rep Case Report BACKGROUND: Incidental leiomyosarcoma (LMS) is a rare diagnosis in pregnancy or in the puerperium. To our knowledge, this is the first case reported in the literature of incidental LMS after cesarean hysterectomy for morbidly adherent placenta. CASE: We present a case of a cesarean hysterectomy performed for a suspected morbidly adherent placenta in a patient with three prior cesarean deliveries, an anterior placenta previa and a fundal fibroid. Subsequent pathology identified a LMS on final specimen. The patient declined bilateral oophorectomy and removal of her remaining cervix. No chemotherapy or radiation was given for her presumed stage IB disease. CONCLUSION: An incidental finding of a LMS is infrequent; the risk of recurrence is > 50% even if the sarcoma is removed in its entirety. Elsevier 2017-04-29 /pmc/articles/PMC5423326/ /pubmed/28508030 http://dx.doi.org/10.1016/j.gore.2017.04.007 Text en © 2017 The Authors. Published by Elsevier Inc. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Hand, Lauren C. Gimovsky, Alexis C. Chan, Joanna S.Y. Rosenblum, Norman G. Kim, Christine H. Incidental leiomyosarcoma found at the time of cesarean hysterectomy for morbidly adherent placenta |
title | Incidental leiomyosarcoma found at the time of cesarean hysterectomy for morbidly adherent placenta |
title_full | Incidental leiomyosarcoma found at the time of cesarean hysterectomy for morbidly adherent placenta |
title_fullStr | Incidental leiomyosarcoma found at the time of cesarean hysterectomy for morbidly adherent placenta |
title_full_unstemmed | Incidental leiomyosarcoma found at the time of cesarean hysterectomy for morbidly adherent placenta |
title_short | Incidental leiomyosarcoma found at the time of cesarean hysterectomy for morbidly adherent placenta |
title_sort | incidental leiomyosarcoma found at the time of cesarean hysterectomy for morbidly adherent placenta |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5423326/ https://www.ncbi.nlm.nih.gov/pubmed/28508030 http://dx.doi.org/10.1016/j.gore.2017.04.007 |
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