Analysis of unexpected malignancy rates in patients undergoing hysterectomy for benign causes
Year: 2024
Type: article
Study design: Observational Study
Abstract: Background/aim: Hysterectomy is the most common operation performed for gynecologic reasons.In this study, we aimed to investigate unexpected malignancies in patients who underwent hysterectomy for benign reasons. Materials and methods:In this retrospective study, pathology results of hysterectomy cases performed in our clinic between 2013 and 2023 were analyzed and unexpected malignancy results were reported.Results: A total of 1954 patients underwent hysterectomy between 2013 and 2013.The mean age of the patients was 50.31 years and the most common indications for hysterectomy were myoma uteri (48.41%) and abnormal uterine bleeding (38.41%).Patients with no suspicion of malignancy in preoperative imaging and endometrial sampling results were operated and 21 patients with malignant final pathology results were identified.The mean age of these patients was 55.47 years and 13 of them had endometium cancer and 7 of them had ovarian malignancy. Conclusion:In the literature, the rate of unexpected malignancies in hysterectomy cases was 0.73%, of which approximately half (58.3%) were uterine and the other half ovarian.In our study, the rate of endometrial malignancies was 0.66% and ovarian malignancies were 0.30%.Although malignancies can be excluded by preoperative imaging methods and endometrial sampling, tumors are rarely encountered.
Language: English
Subfield: Obstetrics and Gynecology
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4403318785