Prevalence of Occult Malignancy Within Morcellated Specimens Removed during Laparoscopic Sacrocolpopexy

Vaneesha Vallabh-Patel, Cristina Saiz, Charbel Salamon, Amanda Francis, Jennifer Pagnillo, Patrick Culligan

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

This study aimed to determine the prevalence of occult malignancy found in morcellated specimens removed in the context of pelvic organ prolapse repair operations. Methods: A total of 786 cases were reviewed from a single health system between October 2006 and July 2015. Thorough chart reviews were performed to include pathological specimens. Demographic, perioperative, and postoperative data were collected. Results: Four occult malignancies were identified including 3 endometrial adenocarcinomas of the uterus and 1 papillary serous carcinoma of the uterus. The overall prevalence of occult malignancy within morcellated specimens was 0.5% (4 of 786). On adopting universal screening with endometrial biopsy, 5 malignancies were identified (5 of 176) before morcellation and no postoperative malignancies in the remaining patients. Conclusions: Power morcellation is a low-risk procedure with laparoscopic supracervical hysterectomy and sacrocolpopexy. Universal screening is highly effective in detecting occult malignancy and in our small series eliminated the risk; studies in multiple institutions will be needed to determine its effectiveness in other hospital systems.

Original languageEnglish (US)
Pages (from-to)190-193
Number of pages4
JournalFemale Pelvic Medicine and Reconstructive Surgery
Volume22
Issue number4
DOIs
StatePublished - Jul 1 2016
Externally publishedYes

Fingerprint

Neoplasms
Uterus
Pelvic Organ Prolapse
Papillary Carcinoma
Hysterectomy
Adenocarcinoma
Demography
Biopsy
Health
Morcellation

All Science Journal Classification (ASJC) codes

  • Surgery
  • Obstetrics and Gynecology
  • Urology

Cite this

Vallabh-Patel, Vaneesha ; Saiz, Cristina ; Salamon, Charbel ; Francis, Amanda ; Pagnillo, Jennifer ; Culligan, Patrick. / Prevalence of Occult Malignancy Within Morcellated Specimens Removed during Laparoscopic Sacrocolpopexy. In: Female Pelvic Medicine and Reconstructive Surgery. 2016 ; Vol. 22, No. 4. pp. 190-193.
@article{c09a0103d29444228847a7d259694f23,
title = "Prevalence of Occult Malignancy Within Morcellated Specimens Removed during Laparoscopic Sacrocolpopexy",
abstract = "This study aimed to determine the prevalence of occult malignancy found in morcellated specimens removed in the context of pelvic organ prolapse repair operations. Methods: A total of 786 cases were reviewed from a single health system between October 2006 and July 2015. Thorough chart reviews were performed to include pathological specimens. Demographic, perioperative, and postoperative data were collected. Results: Four occult malignancies were identified including 3 endometrial adenocarcinomas of the uterus and 1 papillary serous carcinoma of the uterus. The overall prevalence of occult malignancy within morcellated specimens was 0.5{\%} (4 of 786). On adopting universal screening with endometrial biopsy, 5 malignancies were identified (5 of 176) before morcellation and no postoperative malignancies in the remaining patients. Conclusions: Power morcellation is a low-risk procedure with laparoscopic supracervical hysterectomy and sacrocolpopexy. Universal screening is highly effective in detecting occult malignancy and in our small series eliminated the risk; studies in multiple institutions will be needed to determine its effectiveness in other hospital systems.",
author = "Vaneesha Vallabh-Patel and Cristina Saiz and Charbel Salamon and Amanda Francis and Jennifer Pagnillo and Patrick Culligan",
year = "2016",
month = "7",
day = "1",
doi = "10.1097/SPV.0000000000000257",
language = "English (US)",
volume = "22",
pages = "190--193",
journal = "Female Pelvic Medicine and Reconstructive Surgery",
issn = "2151-8378",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

Prevalence of Occult Malignancy Within Morcellated Specimens Removed during Laparoscopic Sacrocolpopexy. / Vallabh-Patel, Vaneesha; Saiz, Cristina; Salamon, Charbel; Francis, Amanda; Pagnillo, Jennifer; Culligan, Patrick.

In: Female Pelvic Medicine and Reconstructive Surgery, Vol. 22, No. 4, 01.07.2016, p. 190-193.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Prevalence of Occult Malignancy Within Morcellated Specimens Removed during Laparoscopic Sacrocolpopexy

AU - Vallabh-Patel, Vaneesha

AU - Saiz, Cristina

AU - Salamon, Charbel

AU - Francis, Amanda

AU - Pagnillo, Jennifer

AU - Culligan, Patrick

PY - 2016/7/1

Y1 - 2016/7/1

N2 - This study aimed to determine the prevalence of occult malignancy found in morcellated specimens removed in the context of pelvic organ prolapse repair operations. Methods: A total of 786 cases were reviewed from a single health system between October 2006 and July 2015. Thorough chart reviews were performed to include pathological specimens. Demographic, perioperative, and postoperative data were collected. Results: Four occult malignancies were identified including 3 endometrial adenocarcinomas of the uterus and 1 papillary serous carcinoma of the uterus. The overall prevalence of occult malignancy within morcellated specimens was 0.5% (4 of 786). On adopting universal screening with endometrial biopsy, 5 malignancies were identified (5 of 176) before morcellation and no postoperative malignancies in the remaining patients. Conclusions: Power morcellation is a low-risk procedure with laparoscopic supracervical hysterectomy and sacrocolpopexy. Universal screening is highly effective in detecting occult malignancy and in our small series eliminated the risk; studies in multiple institutions will be needed to determine its effectiveness in other hospital systems.

AB - This study aimed to determine the prevalence of occult malignancy found in morcellated specimens removed in the context of pelvic organ prolapse repair operations. Methods: A total of 786 cases were reviewed from a single health system between October 2006 and July 2015. Thorough chart reviews were performed to include pathological specimens. Demographic, perioperative, and postoperative data were collected. Results: Four occult malignancies were identified including 3 endometrial adenocarcinomas of the uterus and 1 papillary serous carcinoma of the uterus. The overall prevalence of occult malignancy within morcellated specimens was 0.5% (4 of 786). On adopting universal screening with endometrial biopsy, 5 malignancies were identified (5 of 176) before morcellation and no postoperative malignancies in the remaining patients. Conclusions: Power morcellation is a low-risk procedure with laparoscopic supracervical hysterectomy and sacrocolpopexy. Universal screening is highly effective in detecting occult malignancy and in our small series eliminated the risk; studies in multiple institutions will be needed to determine its effectiveness in other hospital systems.

UR - http://www.scopus.com/inward/record.url?scp=84979052715&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84979052715&partnerID=8YFLogxK

U2 - 10.1097/SPV.0000000000000257

DO - 10.1097/SPV.0000000000000257

M3 - Article

C2 - 26945272

AN - SCOPUS:84979052715

VL - 22

SP - 190

EP - 193

JO - Female Pelvic Medicine and Reconstructive Surgery

JF - Female Pelvic Medicine and Reconstructive Surgery

SN - 2151-8378

IS - 4

ER -