Uterine Sarcomas: Pre- and Intra-operative Considerations
2
Issued Date
2023-01-01
Resource Type
ISSN
08576084
eISSN
26730871
Scopus ID
2-s2.0-85167916850
Journal Title
Thai Journal of Obstetrics and Gynaecology
Volume
31
Issue
1
Start Page
2
End Page
10
Rights Holder(s)
SCOPUS
Bibliographic Citation
Thai Journal of Obstetrics and Gynaecology Vol.31 No.1 (2023) , 2-10
Suggested Citation
Sritonchai C., Charakorn C., Mathaveechotikul P. Uterine Sarcomas: Pre- and Intra-operative Considerations. Thai Journal of Obstetrics and Gynaecology Vol.31 No.1 (2023) , 2-10. 10. doi:10.14456/tjog.2023.1 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/88954
Title
Uterine Sarcomas: Pre- and Intra-operative Considerations
Author(s)
Author's Affiliation
Other Contributor(s)
Abstract
Uterine leiomyomas are the most common indication for hysterectomy and myomectomy. Compared with the laparoscopic approach, the abdominal approach for hysterectomy is associated with a higher risk of a venous thromboembolic event, blood transfusion, prolonged hospital stays, wound pain, and infection. Unfortunately, some women with uterine mass undergoing surgery had unexpected uterine sarcomas. Spreading an unexpected uterine sarcoma during a hysterectomy or myomectomy can worsen the prognosis. Thus, a pre-operative diagnosis of uterine sarcomas is relatively challenging. Obstetrician-gynecologists should pre-operatively discuss the possibility of malignancy of the disease, risk, and benefit of the operative approach with the patient with a uterine mass. In this article, we reviewed the concerns of uterine sarcomas in patients with a uterine mass in terms of the disease incidence, pathological and clinical features, pre-operative evaluation tools such as biomarkers and imaging, intra-operative gross evaluation, and the roles of the intra-operative tissue containment system.