title: Uterine Sarcomas in Patients Undergoing Surgery for Presumed Leiomyomas: 10 Years' Experience.
abstract: OBJECTIVE
  To find the incidence of sarcomas in patients undergoing surgery for presumed leiomyomas.
  
  
  METHODS
  Retrospective study (Canadian Task Force classification II-3).
  
  
  METHODS
  Paul's Hospital, Centre for Advanced Laparoscopy and Infertility, Kochi, India.
  
  
  METHODS
  All women who underwent total laparoscopic hysterectomy (TLH), laparoscopic myomectomy (LM), and hysteroscopic myomectomy (HM) at Paul's Hospital for presumed leiomyomas from January 1, 2004 to December 31, 2014 that were then diagnosed as sarcomas on histopathologic examination.
  
  
  METHODS
  TLH, LM, and HM.
  
  
  RESULTS
  A total of 2678 patients underwent TLH, LM, and HM at Paul's Hospital for presumed leiomyomas from January 1, 2004 to December 31, 2014. Five patients were diagnosed as leiomyosarcoma and 3 patients as endometrial stromal sarcoma on histopathologic examination. Women's ages ranged from 12 to 53 years. Histopathologic diagnosis of leiomyosarcoma was made in 3 patients from the TLH group and 2 patients from the myomectomy group. Two patients from the TLH group and 1 patient from the myomectomy group were diagnosed as endometrial stromal sarcoma on histopathologic examination. The incidence of uterine sarcomas (leiomyosarcoma and endometrial stromal sarcoma) in patients undergoing surgery for presumed leiomyomas was found to be .29% (1 in 335 patients) in our study.
  
  
  CONCLUSIONS
  Over a period of 10 years (2004-2014), the incidence of uterine sarcomas in patients undergoing surgery for presumed leiomyomas was found to be .29% in our study.
authors.affiliation: Centre for Advanced Endoscopy and Infertility, Paul's Hospital, Cochin, Kerala, India. Electronic address: drpaulpg@gmail.com.
authors.forename: P G
authors.initials: PG
authors.lastname: Paul
authors.affiliation: Centre for Advanced Endoscopy and Infertility, Paul's Hospital, Cochin, Kerala, India.
authors.forename: Varsha
authors.initials: V
authors.lastname: Rengaraj
authors.affiliation: Centre for Advanced Endoscopy and Infertility, Paul's Hospital, Cochin, Kerala, India.
authors.forename: Tanuka
authors.initials: T
authors.lastname: Das
authors.affiliation: Centre for Advanced Endoscopy and Infertility, Paul's Hospital, Cochin, Kerala, India.
authors.forename: Reena
authors.initials: R
authors.lastname: Garg
authors.affiliation: Centre for Advanced Endoscopy and Infertility, Paul's Hospital, Cochin, Kerala, India.
authors.forename: Manju
authors.initials: M
authors.lastname: Thomas
authors.affiliation: Centre for Advanced Endoscopy and Infertility, Paul's Hospital, Cochin, Kerala, India.
authors.forename: Aditya S
authors.initials: AS
authors.lastname: Khurd
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy; D015994:Incidence; D007194:India / Q000453:epidemiology; D010535:Laparoscopy; D007889:Leiomyoma / Q000453:epidemiology* / Q000473:pathology / Q000601:surgery; D007890:Leiomyosarcoma / Q000453:epidemiology* / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D012189:Retrospective Studies; D018203:Sarcoma, Endometrial Stromal / Q000453:epidemiology* / Q000473:pathology / Q000601:surgery; D063186:Uterine Myomectomy; D014594:Uterine Neoplasms / Q000453:epidemiology* / Q000473:pathology / Q000601:surgery
keywords: Endometrial stromal sarcoma; Hysteroscopic myomectomy; Laparoscopic myomectomy; Leiomyosarcoma; Sarcoma; Total laparoscopic hysterectomy