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Uterine Sarcomas: Pre- and Intra-operative Considerations |
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| รหัสดีโอไอ | |
| Creator | Chuleekorn Sritonchai |
| Title | Uterine Sarcomas: Pre- and Intra-operative Considerations |
| Contributor | Chuenkamon Charakorn, Panida Mathaveechotikul |
| Publisher | PIMDEE Co., Ltd. |
| Publication Year | 2566 |
| Journal Title | Thai Journal of Obstetrics and Gynaecology |
| Journal Vol. | 31 |
| Journal No. | 1 |
| Page no. | 2-10 |
| Keyword | hysterectomy, leiomyoma, myomectomy, power morcellation, uterine sarcoma |
| URL Website | https://tci-thaijo.org/index.php/tjog/index |
| Website title | www.tci-thaijo.org |
| ISSN | 2673-0871 |
| 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. |
