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Morcellation-Related Dissemination of Smooth Muscle Neoplasia
D efinition — A specific syndrome caused by the iatrogenic dissemination of a morcellated smooth muscle tumor, which is distinct from spontaneous disseminated peritoneal leiomyomatosis.
Clinical Features
Epidemiology
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Power morcellation has been a commonly used technique for removing intraabdominal smooth muscle tumors and may disseminate both normal and tumor tissues in the peritoneal cavity.
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Unexpected leiomyosarcoma occurs in approximately 1 to 2 per 1000 routine hysterectomies for presumed benign leiomyomata.
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Malignancies can be detected in as high as 1 : 350 morcellation procedures for presumed symptomatic leiomyomata.
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