Among women undergoing hysterectomies and varied by age and surgical route, prevalence of occult corpus uteri, cervical, and ovarian malignancy was 1.44%, 0.60%, and 0.19%. The secondary analysis of data from the 2014-2015 American College of Surgeons National Surgical Quality Improvement Program included 24,076 women undergoing hysterectomy and 2,368 women undergoing myomectomy. The primary outcome measure was pathology-confirmed malignancy in the corpus uteri, cervix uteri, and ovary. Researchers found:
- Malignancy of the corpus uteri was found in 1.44% of the women undergoing hysterectomy.
- The prevalence varied considerably across surgical routes with the rate being 0.23% in laparoscopic supracervical hysterectomy and 1.89% in total laparoscopic or laparoscopic-assisted vaginal hysterectomy.
- Older women were significantly more like to have preoperatively undetected malignancy of the corpus uteri.
Desai VB, Wright JD, Schwartz PE, et al. Occult gynecologic cancer in women undergoing hysterectomy or myomectomy for benign indications. [Published online ahead of print March 8, 2018]. Obstet Gynecol. doi:10.1097/AOG.0000000000002521.
This Week's Must Reads
Opioid Prescribing After Cesarean Delivery, Obstet Gynecol; ePub 2018 Aug 4; Prabhu, et al
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Postpartum Pain & Fatigue Management , Obstet Gynecol; ePub 2018 Jul; ACOG
Vaginal Preparation Before Cesarean Section, Cochrane Library; ePub 2018 Jul 17; Haas, et al
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Must Reads in Gynecologic Cancer
Place of Death in Patients with Gynecologic Cancer, Obstet Gynecol; ePub 2018 May 7; Hicks-Courant, et al
Recent IUD Use and Risk of Cervical Cancer, Contraception; ePub 2018 Apr 16; Averbach, et al
Occult Gynecologic Cancer in Hysterectomy or Myomectomy, Obstet Gynecol; ePub 2018 Mar 8; Desai, et al
Concomitant POPUI Procedures & Gynecologic Cancer Surgery, Female Pelvic Med Reconstr Surg; ePub 2018 Apr 4; Bochenska, et al
USPSTF: Screening for Ovarian Cancer, JAMA; 2018 Feb 13; USPSTF, Grossman, et al