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Uterine fibroids versus uterine leiomyosarcomas: certainties, queries, conclusions

Uterine leiomyomas are probably the most frequent benign tumors of the female genital tract. Leiomyosarcomas are rare and portend a dismal prognosis. Many patients are initially asymptomatic or present with nonspecific symptoms which are similar to myoma-associated complaints. The intraabdominal morcellement of uterine and myoma tissue is essential part of the laparoscopic procedure. One of the complications of this technique is the unintentional intraabdominal scattering of tissue parts of a leiomyosarcoma in women whereby preoperatively a benign myoma was supposed yet. Data and facts concerning leiomyosarcomas are presented summarized, aspects of morcellement of myoma resp. preoperatively not recognized sarcoma tissue are discussed and recommendations for a possible approach are given.

CME Prakt Fortbild Gynakol Geburtsmed Gynakol Endokrinol 2015; 11(1): 82–91

Fibroids, uterine leiomyosarcomas, uterus, morcellation, treatment

Matthias David
Klinik für Gynäkologie, Charité – Universitätsmedizin Berlin
Reviewer: Deborah Bauer, Berlin,
und Philipp Harter, Essen

David M. Uterusmyome ... Gynakol Geburtsmed Gynakol Endokrinol 2015; 11(1): 82–91 publiziert 31.03.2015 ©akademos Wissenschaftsverlag 2015 ISSN 1614-8533