title: Morcellator's Port-site Metastasis of a Uterine Smooth Muscle Tumor of Uncertain Malignant Potential After Minimally Invasive Myomectomy.
abstract: Since the safety warning from the US Food and Drug Administration on the use of power morcellators, minimally invasive procedures involving the removal of uterine myomas and large uteri are under scrutiny. Growing evidence suggests that morcellation of undiagnosed uterine malignancies is associated with worse survival outcomes of patients affected by uterine sarcoma. However, to date, only limited data regarding morcellation of low-grade uterine neoplasms are available. In the present article, we reported a case of a (morcellator) port-site implantation of a smooth muscle tumor that occurred 6 years after laparoscopic morcellation of a uterine smooth muscle tumor of uncertain potential. This case highlights the effects of intra-abdominal morcellation, even in low-grade uterine neoplasms. Caution should be used when determining techniques for tissue extraction; the potential adverse consequences of morcellation should be more fully explored.
authors: Department of Gynecologic Oncology, IRCCS National Cancer Institute, Milan, Italy. Electronic address: giorgio.bogani@istitutotumori.mi.it.
authors: Giorgio
authors: G
authors: Bogani
authors: Department of Gynecologic Oncology, IRCCS National Cancer Institute, Milan, Italy.
authors: Antonino
authors: A
authors: Ditto
authors: Department of Gynecologic Oncology, IRCCS National Cancer Institute, Milan, Italy.
authors: Fabio
authors: F
authors: Martinelli
authors: Department of Gynecologic Oncology, IRCCS National Cancer Institute, Milan, Italy.
authors: Mauro
authors: M
authors: Signorelli
authors: Department of Gynecologic Oncology, IRCCS National Cancer Institute, Milan, Italy.
authors: Valentina
authors: V
authors: Chiappa
authors: Department of Gynecologic Oncology, IRCCS National Cancer Institute, Milan, Italy.
authors: Domenica
authors: D
authors: Lorusso
authors: Department of Gynecologic Oncology, IRCCS National Cancer Institute, Milan, Italy.
authors: Ilaria
authors: I
authors: Sabatucci
authors: Department of Gynecologic Oncology, IRCCS National Cancer Institute, Milan, Italy.
authors: Maria L
authors: ML
authors: Carcangiu
authors: Department of Surgery, IRCCS National Cancer Institute, Milan, Italy.
authors: Marco
authors: M
authors: Fiore
authors: Department of Surgery, IRCCS National Cancer Institute, Milan, Italy.
authors: Alessandro
authors: A
authors: Gronchi
authors: Department of Gynecologic Oncology, IRCCS National Cancer Institute, Milan, Italy.
authors: Francesco
authors: F
authors: Raspagliesi
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D007889:Leiomyoma / Q000601:surgery*; D009366:Neoplasm Seeding; D016609:Neoplasms, Second Primary / Q000601:surgery*; D012509:Sarcoma / Q000601:surgery*; D018235:Smooth Muscle Tumor / Q000601:surgery; D063186:Uterine Myomectomy / Q000379:methods; D014594:Uterine Neoplasms / Q000601:surgery*
keywords: Laparoscopy; Morcellation; Myomectomy; STUMP; Uterine sarcoma