Common hysterectomy procedure may spread uterine cancer


52 Staging laparotomy with omentectomy with total hysterectomy for ovarian cancer

Cancer and a complete hysterectomy

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Removing the uterus with a minimally invasive procedure known as morcellation carries a risk of spreading undetected cancer, and now a new study pinpoints the likelihood more clearly. Twenty-seven of every 10, women who had the technique had undetected uterine cancer at the time of the procedure, researchers found, with the odds being highest for patients over the age of Surgeons performing a hysterectomy with morcellation use a power cutter to slice uterine tissue into smaller fragments, and then remove those fragments through small incisions in the abdomen via a tube or laparoscope.

That risk is not present when the uterus is removed intact, as in a conventional hysterectomy, he said. For the new study, cancer and a complete hysterectomy, published online July 22 in the Journal of the American Medical Association, Wright artemesinin and coumadin insurance data from more than hospitals.

Previous research, he said, centered on reports from single hospitals, which estimated the risk at 9 to of every 10, women who underwent the procedure. In April, the U. Food and Drug Administration issued a safety alert, discouraging use of power morcellation for removal of the uterus or uterine fibroids noncancerous growths that can cause bleeding between periods or pain because of the cancer risk.

It is continuing to cancer and a complete hysterectomy the procedure. Abouthysterectomies are done annually in the United States for such problems as uterine cancer and fibroids, according to the U. Centers for Disease Control and Prevention. Wright identified more thanwomen who underwent minimally invasive hysterectomy from through Of those, about 36, women had the morcellation technique. Among these, 99 cases of uterine cancer were found. That translates to about 27 women in every 10, The older the woman, the more likely employment drug screens and wellbutrin was to have underlying cancer, the study found.

While six women under age 40 had uterine cancer detected after morcellation, 24 women aged 65 and older did -- an increase of about 36 percent. While the risk of morcellation has been known, the new study offers valuable new information about older women being most at risk, said Dr. Weighing the risks and benefits is important, Strongin said.

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Cancer and a complete hysterectomy