Out of the Shadows: Occult Gynecologic Malignancies at Hysterectomy or Myomectomy for Benign Conditions

All are rare, with uterine cancer seen more often than cervical or ovarian malignancies.

Most hysterectomies and myomectomies are performed for benign indications — but how often are occult malignancies revealed? Investigators used data from a national surgical program to estimate the prevalence of preoperatively undiagnosed uterine, cervical, and ovarian malignancies subsequently found at 24,000 hysterectomies and 2400 myomectomies. Total laparoscopic or laparoscopic-assisted vaginal hysterectomy (48%) and total abdominal hysterectomy (21%) were most common, and 7% of patients underwent laparoscopic supracervical hysterectomy. Some 60% of myomectomies were performed abdominally and 62% were performed in the inpatient setting.

Among women undergoing hysterectomy, prevalence of occult cancer was 1.4% (uterine), 0.6% (cervical), a…

Reviewing Author

Robert W. Rebar, MD

Disclosures

Consultant/Advisory BoardMyovant Sciences, Inc.

Editorial BoardsEndoText; Clinical OB/GYN Alert

Leadership Positions in Professional SocietiesAmerican Society for Reproductive Medicine (Member, Ethics Committee)

Robert W. Rebar, MD

Disclosures

Consultant/Advisory BoardMyovant Sciences, Inc.

Editorial BoardsEndoText; Clinical OB/GYN Alert

Leadership Positions in Professional SocietiesAmerican Society for Reproductive Medicine (Member, Ethics Committee)

Out of the Shadows: Occult Gynecologic Malignancies at Hysterectomy or Myomectomy for Benign Conditions

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Reviewing Author