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Disseminated peritoneal leiomyosarcomas after laparoscopic "myomectomy" and morcellation
R Anupama1, Sheikh Zahoor Ahmad, Santhosh Kuriakose
1Department of Surgical Oncology, Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India. anupamar@aims.amrita.edu
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.