Incidence of Malignancy and Myoma Variants at Surgery for Presumed Benign Symptomatic Myomas

Abstract

Study Objective To estimate the incidence of leiomyosarcoma; other uterine pathologies; and the frequency of use of morcellation, both mechanical and manual in laparoscopic, vaginal, and laparotomy operative routes in women undergoing hysterectomy or myomectomy for benign gynecologic indications when myomas were present. Design A retrospective study (Canadian Task Force classification II-3). Setting The Royal Women's Hospital, Melbourne, Australia. Patients All hysterectomies and myomectomies (any route) for a 10-year period from January 1, 2004, to December 31, 2013, for presumed benign gynecologic indications. Interventions Hysterectomy or myomectomy, any route. Measurements and Main Resul..