Is There Any Possibility of Uterine Sarcoma, STUMP and Benign Myoma Variants in the Patients Operated for Myoma Uteri

Authors : Elif TOPCU, Volkan ÜLKER, Nermin GUNDUZ, Hale GÖKSEVER ÇELİK

Pages : 538-544

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Publication Date : 2021-10-09

Article Type : Research Paper

Abstract :Malignant pathologies may be observed in the histopathological examination of the patients who were operated with the diagnosis of myoma uteri. We aimed to to investigate the rates of detection of uterine sarcoma, smooth muscle tumor of uncertain malignant potential and benign myoma variants who were operated due to myoma uteri. Patients who were operated with the diagnosis of myoma uteri between 2012-2018 were included. Patients with and without malignant pathology were compared in terms of their characteristics. The malignancy was encountered in 39 patients insert ignore into journalissuearticles values(1.5%); among 2583 patients. A significant difference was found between the patients with and without malignancy in terms of age, admission complaints, and cervical smear results. Patients in the malignant group were found to be older insert ignore into journalissuearticles values(52.5±11.0 vs 48.1±6.1, p=0.016);. Postmenopausal bleeding was significantly a more common complaint in the malignant group insert ignore into journalissuearticles values(p=0.028);. The rate of abnormal cytology in the cervical smear results in the malignant group was 5.1% insert ignore into journalissuearticles values(p=0.004);. Pathology reports of the patients who were operated for myoma uteri may result with malignancy. In the preoperative evaluation, it is necessary to pay attention to the patients’ characteristics, to evaluate the risk factors for the possibility of a malignancy.
Keywords : hysterectomy, myoma uteri, uterine sarcoma, myomectomy, STUMP smooth muscle tumor of uncertain malignant potential,

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