Major Scope

  •  Lung Cancer
  •  Colorectal Cancer
  •  Pancreatic Cancer
  •  Breast Cancer
  •  Prostate Cancer
  •  Liver Cancer
  •  Leukemia
  •  Bladder Cancer
  •  Kidney Cancer
  •  Endometrial Cancer
  •  Oncology Case Reports
  •  Radiation Therapy

Abstract

Citation: Clin Oncol. 2019;4(1):1596.DOI: 10.25107/2474-1663-v4-id1596

Removal of a Huge Uterine Mass, Weighing 11000 Grams, In an Elderly Woman with a Minimally Invasive Surgical Approach: Feasibility and Safety

Antonio Macciò, Giacomo Chiappe, Fabrizio Lavra, Elisabetta Sanna and Clelia Madeddu

Department of Gynecologic Oncology, Azienda Ospedaliera Brotzu, Italy
Department of Medical Sciences and Public Health, University of Cagliari, Italy

*Correspondance to: Antonio Macciò 

 PDF  Full Text Case Report | Open Access

Abstract:

The weight limit of a uterine mass that can be removed laparoscopically and the possible complications of such a surgery remain unclear.Here, we describe the case of an 80-year-old woman who underwent a minimally invasive approach to a huge uterine mass weighing 11000 grams. Computed tomography showed a large, partially cystic mass undistinguishable from the uterus associated with left hydroureteronephrosis. The patient was advised on the different surgical alternatives, including the possibility of minimally invasive surgery, as well as the risks of morcellation of a potential occult uterine leiomyosarcoma or smooth muscle tumor of uncertain malignant potential, and she opted for a laparoscopic approach if possible. After fluid drainage from the mass, total laparoscopic hysterectomy was performed successfully. Surgery was complicated by ureteral injury that was immediately repaired laparoscopically in the same operative session. Microscopic examination showed a leiomyoma of the uterus with cystic degeneration and calcific content without histologic signs of malignancy.Conclusion: We were able to remove a very large uterus using a minimally invasive approach, reaffirming it is currently impossible to define the maximum uterine weight limit for laparoscopic removal.

Keywords:

Cite the Article:

Macciò A, Chiappe G, Lavra F, Sanna E, Madeddu C. Removal of a Huge Uterine Mass, Weighing 11000 Grams, In an Elderly Woman with a Minimally Invasive Surgical Approach: Feasibility and Safety. Clin Oncol. 2019; 4: 1596.

Journal Basic Info

  • Impact Factor: 3.231**
  • H-Index: 11 
  • ISSN: 2474-1663
  • DOI: 10.25107/2474-1663
  • PubMed NLM ID: 101705590

Search Our Journal

Journal Indexed In

Articles in PubMed

Metastatic Retroperitoneal Paraganglioma: Case Report and Review of the Literature
 PubMed  PMC  PDF  Full Text
LINGO-1 is a New Therapy Target and Biomarker for Ewing Sarcoma
 PubMed  PMC  PDF  Full Text
View More...

Articles with Grants

A Comprehensive Study of ROS1 Fusion in Patients with Non-Small-Cell Lung Cancer Using Novel ROS1 Immunohistochemistry Clone (SP384)
 Abstract  PDF  Full Text
CEA and CA19-9 Levels and KRAS Mutation Status as Biomarkers for Colorectal Cancer
 Abstract  PDF  Full Text
View More...