Disseminated peritoneal leiomyosarcomas after laparoscopic "myomectomy" and morcellation

J Minim Invasive Gynecol. 2011 May-Jun;18(3):386-9. doi: 10.1016/j.jmig.2011.01.014.

Abstract

Herein is reported a case of disseminated peritoneal leiomyosarcoma arising shortly after laparoscopic myomectomy and specimen retrieval with an electromechanical morcellator. The topography of the sarcomas suggests morcellation as a contributing factor. This case shows that caution should be exercised when selecting patients for laparoscopic myomectomy and stresses the need for a thorough pathologic examination of the specimen retrieved.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Diagnostic Errors
  • Fatal Outcome
  • Female
  • Humans
  • Laparoscopy / adverse effects*
  • Leiomyoma / diagnosis
  • Leiomyoma / pathology
  • Leiomyoma / surgery*
  • Leiomyosarcoma / diagnostic imaging
  • Leiomyosarcoma / pathology
  • Leiomyosarcoma / secondary*
  • Neoplasm Seeding*
  • Peritoneal Neoplasms / diagnostic imaging
  • Peritoneal Neoplasms / pathology
  • Peritoneal Neoplasms / secondary*
  • Radiography
  • Uterine Neoplasms / diagnosis
  • Uterine Neoplasms / pathology
  • Uterine Neoplasms / surgery*