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Uterine cavity evacuation as a novel approach for uterine size reduction during minimal invasive surgery for uterine carcinosarcoma: a report of two cases

  • Alice Hue Chen1,*,
  • Lauren Turker2
  • Joseph DiVito3
  • Dennis Yi-Shin Kuo2,4

1Department of Obstetrics & Gynecology and Women’s Health, Montefiore Medical Center, Bronx, NY 10461, USA

2Department of Obstetrics & Gynecology and Women’s Health, Division of Gynecologic Oncology, Montefiore Medical Center, Bronx, NY 10461, USA

3Department of Radiology, Montefiore Medical Center, Bronx, NY 10461, USA

4Albert Einstein Cancer Center, Albert Einstein College of Medicine, Bronx, NY 10461, USA

DOI: 10.31083/j.ejgo4302044 Vol.43,Issue 2,April 2022 pp.372-376

Submitted: 23 February 2021 Accepted: 27 April 2021

Published: 15 April 2022

*Corresponding Author(s): Alice Hue Chen E-mail: Alicehue.chen@gmail.com

Abstract

Background: Uterine carcinosarcoma often presents with significant uterine distention. This makes it difficult to perform minimally invasive surgery, which is preferred for uterine cancer given the significant recovery benefits. Cases: We present two cases of uterine carcinosarcoma in which we performed uterine evacuation intraoperatively to decompress the uterine volume to facilitate specimen removal through the vagina. The first patient ultimately had stage IA disease. She received adjuvant chemotherapy and radiation and has remained disease-free for 2 years. The second patient had stage IVB disease on final pathology report. She received adjuvant chemotherapy but had disease recurrence 4 months after completion of treatment. Conclusion: Intraoperative uterine evacuation during surgery for uterine carcinosarcoma may make possible a minimally invasive procedure in patients with large, distended uteri.


Keywords

Uterine carcinosarcoma; Minimally invasive surgery; Surgical techniques

Cite and Share

Alice Hue Chen,Lauren Turker,Joseph DiVito,Dennis Yi-Shin Kuo. Uterine cavity evacuation as a novel approach for uterine size reduction during minimal invasive surgery for uterine carcinosarcoma: a report of two cases. European Journal of Gynaecological Oncology. 2022. 43(2);372-376.

References

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[3] Fader AN, Java J, Tenney M, Ricci S, Gunderson CC, Temkin SM, et al. Impact of histology and surgical approach on survival among women with early-stage, high-grade uterine cancer: an NRG Oncology/Gynecologic Oncology Group ancillary analysis. Gynecologic Oncology. 2016; 143: 460–465.

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[7] Nieboer TE, Hendriks JCM, Bongers MY, Vierhout ME, Kluivers KB. Quality of life after laparoscopic and abdominal hysterectomy: a randomized controlled trial. Obstetrics and Gynecology. 2012; 119: 85–91.

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