Occult Uterine Cancer in Presumed Benign Hysterectomies: A Population-Based Study
ACOG ePoster. Xu X. Apr 27, 2018; 211897
Xiao Xu
Xiao Xu
Login now to access Regular content available to all registered users.

You may also access this content "anytime, anywhere" with the Free MULTILEARNING App for iOS and Android
Abstract
Rate & Comment (0)
Introduction: To inform proper surgical planning and policy discussion regarding uterine power morcellation, this study estimated the prevalence of occult uterine cancer in a large population-based sample of women undergoing hysterectomy for presumed benign indications.

Methods: Women who underwent a hysterectomy in 10/1/2003-12/31/2013 were identified from the New York Statewide Planning and Research Cooperative System database which includes all inpatient and outpatient hospital discharges in the state. We excluded women with a history or admitting diagnosis of gynecologic cancer or endometrial hyperplasia, or received hysterectomy for non-gynecologic indications. Diagnosis of uterine cancer within 28 days after the index hysterectomy was determined based on linked state cancer registry data.

Results: We identified 233,979 women who underwent a presumed benign hysterectomy. The prevalence of occult uterine cancer was 1.00% (95% confidence interval [CI] 0.96-1.04%), including 0.78% (95% CI 0.74-0.81%) for endometrial carcinoma and 0.22% (95% CI 0.20-0.24%) for uterine sarcoma. The prevalence for leiomyosarcoma was 0.15% (95% CI 0.13-0.17%). The rate of occult uterine cancer ranged from 0.27% in laparoscopic supracervical hysterectomy to 1.96% in total abdominal hysterectomy; and varied from 0.15% in women undergoing hysterectomy for endometriosis to 0.64% for uterine fibroids and 8.64% for postmenopausal bleeding. After adjusting for surgical indication, the risk of occult uterine cancer was significantly higher in older women (e.g., odds ratio=25.98 for age ≥60 years versus
    This eLearning portal is powered by:
    This eLearning portal is powered by MULTIEPORTAL
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.


Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.


Save Settings