title: Disseminated peritoneal leiomyosarcomas after laparoscopic "myomectomy" and morcellation.
abstract: Herein is reported a case of disseminated peritoneal leiomyosarcoma arising shortly after laparoscopic myomectomy and specimen retrieval with an electromechanical morcellator. The topography of the sarcomas suggests morcellation as a contributing factor. This case shows that caution should be exercised when selecting patients for laparoscopic myomectomy and stresses the need for a thorough pathologic examination of the specimen retrieved.
authors.affiliation: Department of Surgical Oncology, Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India. anupamar@aims.amrita.edu
authors.forename: R
authors.initials: R
authors.lastname: Anupama
authors.forename: Sheikh Zahoor
authors.initials: SZ
authors.lastname: Ahmad
authors.forename: Santhosh
authors.initials: S
authors.lastname: Kuriakose
authors.forename: D K
authors.initials: DK
authors.lastname: Vijaykumar
authors.forename: K
authors.initials: K
authors.lastname: Pavithran
authors.forename: N V
authors.initials: NV
authors.lastname: Seethalekshmy
mesh_terms: D000328:Adult; D003951:Diagnostic Errors; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D007889:Leiomyoma / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D007890:Leiomyosarcoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000556:secondary*; D009366:Neoplasm Seeding; D010534:Peritoneal Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000556:secondary*; D011859:Radiography; D014594:Uterine Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*