Unexpected uterine malignancy in women who have undergone myomectomy

Yuk, Jin‐Sung; Ji, Hyun Young; Lee, Sung Ha; Park, Yong Soo; Lee, Jung Hun

doi:10.1016/j.ijgo.2014.12.004

Cited by 8 publications

(10 citation statements)

References 4 publications

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“…Another factor for the long mean operative time of this study is the number of removed myomas. In this study, the mean number of removed myomas for each case was 3.8 ± 3.5 (range [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18]. This is greater than the values in other studies (4,7,8,11,12).…”

Section: Discussionmentioning

confidence: 68%

“…The small space in the endobag leads to increased risk of endobag laceration and bowel injury during morcellation. Although the incidence of unexpected malignancy diagnosed after myomectomy is low in Korea (0.12%) (17,18), when the resected myoma is morcellated in the abdominal cavity without using an endobag, some chips of the morcellated myoma could be scattered in the peritoneal cavity and be a cause of pelvic leiomyomatosis, pelvic adhesion, and, rarely, dissemination of uterine sarcoma, and therefore, great caution is demanded in the process of morcellation. On account of the possibility of these complications, we received an informed consent from all patients, and performed magnetic resonance imaging to rule out the possibility of malignancy before proceeding for surgery.…”

Section: Discussionmentioning

confidence: 99%

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Robot‐assisted laparoscopic myomectomy for deep intramural myomas

Kang

Jeung

Chung

et al. 2016

Robotics Computer Surgery

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Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Robot‐assisted laparoscopic myomectomy for deep intramural myomas

Kang

Jeung

Chung

et al. 2016

Robotics Computer Surgery

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“…The incidence of UUM diagnosed after surgery for benign gynecologic diseases was reported as 0.05%–0.29% in previous studies 4‐9,14 . As mentioned in the authors’ previous study, this relatively wide range may be attributed to several factors, including different definitions of UUM, differences in the primary surgery performed (myomectomy vs. hysterectomy), and differences in the mean ages of enrolled women 5,7 .…”

Section: Discussionmentioning

confidence: 93%

“…We have already published several papers on this subject through real‐world data analysis using national insurance claims data 4‐7 . In our previous study on myomectomy using the same data, morcellator use did not reduce the overall survival rate in women with UUM diagnosed after surgery 5,7 .…”

Section: Introductionmentioning

confidence: 96%

Seven‐year survival analysis in women with unsuspected uterine malignancy after laparotomic versus laparoscopic hysterectomy: A national claim data retrospective cohort study

Yuk

Lee

2021

Intl J Gynecology & Obste

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Objective The primary aim was to compare the overall survival of women with unsuspected uterine malignancy (UUM) diagnosed after laparotomic versus laparoscopic hysterectomy for benign gynecologic diseases. The secondary aim was to evaluate the incidence of UUM. Methods A national health insurance database was analyzed from 2006 to 2010. Results From the database (24 million women annually), 157 232 women who received hysterectomy for benign diseases were extracted. These women were divided into a laparotomic group (n = 103 631) and a laparoscopic group (n = 53 601). The overall incidences of UUM, unsuspected endometrial cancer, and unsuspected uterine malignancy other than endometrial cancer (UUMOEC) were 0.66%, 0.46%, and 0.19%, respectively. Kaplan–Meier survival analysis and Cox regression analysis showed that the laparoscopic group was associated with more favorable overall survival than the laparotomic group, especially in UUMOEC (P < 0.001). Conclusion In women with UUM diagnosed after hysterectomy for benign diseases, overall survival up to 7 years favors laparoscopy over laparotomy, especially in UUMOEC and the incidence of UUM is relatively low. However, considering the devastating effect of intraperitoneal dissemination of UUM, surgeons should fully explain this issue to patients preoperatively and try to avoid intraperitoneal spread of tumor cells intraoperatively.

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“…Yuk et al (2015) and Yuk et al (2016) recently reported two studies that described the incidence of unexpected uterine malignancies in women who had undergone myomectomies: one of these studies used the HIRA-NIS, while the other study used whole claims data (Yuk et al, 2015; Yuk et al, 2016). The results from the two studies were consistent, which indicated that the HIRA-NIS represented the incidence of unexpected uterine malignancies excellently.…”

Section: Methodsmentioning

confidence: 99%

The incidence rates of endometrial hyperplasia and endometrial cancer: a four-year population-based study

Yuk

2016

PeerJ

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IntroductionThe aim of this study was to determine the incidence rates of endometrial hyperplasia (EH) and endometrial cancer (EC) in the Republic of Korea using national insurance claim data generated from 2009 to 2012.Materials and MethodsData that were generated from 2009 to 2012 were sourced from the Korean Health Insurance Review and Assessment Service-National Inpatients Sample database. The data from women who were assigned diagnosis codes representing EH or EC within 1 month of being assigned codes that corresponded to procedures that included endometrial biopsies and several types of gynecologic surgeries to obtain endometrial pathology samples, were selected for analysis.ResultsData from 2,477,424 women were entered into the database between 2009 and 2012, and the data from 1,868 women with EH and 868 women with EC were extracted for analysis. The mean ages of the patients were 44.1 ± 0.4 years for those with EH and 52.7 ± 0.6 years for those with EC. The EH and EC incidence rates were 37 per 100,000 woman-years and 8 per 100,000 woman-years, respectively. The EH and EC incidence rates peaked when the women were in their late forties and fifties, respectively.ConclusionsThe EH and EC incidence rates determined in this study were somewhat lower than those determined from previous studies. Further studies are required that adjust the data for race, menopausal hormone therapy, and obesity.

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Unexpected uterine malignancy in women who have undergone myomectomy

Cited by 8 publications

References 4 publications

Robot‐assisted laparoscopic myomectomy for deep intramural myomas

Robot‐assisted laparoscopic myomectomy for deep intramural myomas

Seven‐year survival analysis in women with unsuspected uterine malignancy after laparotomic versus laparoscopic hysterectomy: A national claim data retrospective cohort study

The incidence rates of endometrial hyperplasia and endometrial cancer: a four-year population-based study

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