J Gynecol Oncol | Volume 3, Issue 5 | Case Series | Open Access

Two Cases of Polypoid Uterine Sarcoma Successfully Operated Laparoscopically without Morcellation: Feasibility of Diagnostic Minimally Invasive Hysterectomy

Murata T*, Shigeru S, Soichiro S, Sugihara A, Miyake T, Moriya T, Koichiro S and Mitzuru S

Department of Obstetrics and Gynecology, Kawasaki Medical School, Japan

*Correspondance to: Takuya Murata 

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Abstract

Uterine sarcoma is rare malignant tumor and the prognosis is poor among the aggressive type. It is sometimes difficult to make differential diagnosis correctly between uterine benign tumor such as uterine fibroma or adenomyosis preoperatively. So, diagnostic aim operation is feasible for suspicious cases. Minimal invasive surgery such as laparoscopic operation or robotic surgery is a good indication in such case as they have merit of smaller incision, short time in hospital, early recovery. But if uterine size is large enough that morcellation is necessary for transvaginal specimen extraction, the spread of sarcoma cells is warranted. We experienced two cases of uterine polypoid sarcoma that laparoscopic hysterectomy was accomplished without morcellation. One case was uterine adenosarcoma with heterologous elements and sarcomatous overgrowth. Another case was low grade ESS. In both cases, recurrence in the abdominal cavity was not occurred and diagnostic hysterectomy was safely accomplished

Citation:

Murata T, Shigeru S, Soichiro S, Sugihara A, Miyake T, Moriya T, et al. Two Cases of Polypoid Uterine Sarcoma Successfully Operated Laparoscopically without Morcellation: Feasibility of Diagnostic Minimally Invasive Hysterectomy. J Gynecol Oncol. 2020; 3(5): 1044.

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