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Too many hysterectomies are performed without thorough preoperative workup for malignancy, although a cancer diagnosis at this juncture can markedly change the approach to surgical (and other) treatment. Investigators used the Michigan Surgical Quality Collaborative (MSQC) database to calculate incidence of occult cancer in women undergoing hysterectomy (with or without salpingo-oophorectomy) for benign indications during 2013.
Among 5274 women undergoing hysterectomy for benign indications with low risk for cancer (i.e., uterine prolapse, endometriosis, pelvic pain, fibroids, and abnormal bleeding), 75 occult cancers were detected by pathologic analysis of the surgical specimens, representing 1 in 70 women. These included endometrial cancer…