Likelihood of incidental finding of gynecological cancer in women undergoing hysterectomy for benign indications

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dc.authorid0000-0002-0745-0907
dc.contributor.authorEkici, Mustafa Ayhan
dc.contributor.authorÖnal, Ali Can
dc.contributor.authorÇetin, Çağlar
dc.date.accessioned2021-06-23T19:54:09Z
dc.date.available2021-06-23T19:54:09Z
dc.date.issued2020
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractObjective: The aim of this study was to determine the incidence of unexpected gynecological malignancy (UGM) after hysterectomy performed for benign indications. Methods: We analysed patient sample data extracted from a medical database between 1 January 2007 and 10 August 2019 for 2740 women who underwent a hysterectomy for benign indications. The Kolmogorov-Smirnov test, KruskalWallis test and Chi-square test were performed. Statistical significance was reached if p < 0.05. Results : The most common primary indications for hysterectomy were leiomyomata (1403, 51%), abnormal uterine bleeding (784, 28.61%), and pelvic organ prolapse (504, 18.39%). A laparotomic, laparoscopic or vaginal hysterectomy was performed in 1452 (53%), 836 (30.5%) and 452 (16.5%) women, respectively. unexpected gynecological malignancy after hysterectomy was diagnosed in 22 (0.80%) women. The incidence of unexpected uterine malignancies (UUM), unexpected endometrial cancer, and unexpected uterine malignancies without endometrial cancer was 0.54%, 0.40% and 0.14% respectively. Mean ages were not significantly different for abdominal, laparoscopic and vaginal hysterectomy groups (51.75 +/- 9.83, 51.32 +/- 9.51, 51.39 +/- 10.04 years respectively, p = 0.299). No significant difference in the incidence of unexpected gynecological malignancy was noted between the groups [laparotomy 0.47%, laparoscopy 0.22%, vaginal 0.11%, p = 0.066]. The incidence of unexpected leiomyosarcoma [laparatomic 0.11%, laparascopic 0.03%, vaginal 0.0%] and unexpected endometrial carcinoma [laparatomic 0.26%, laparascopic 0.11%, vaginal 0.03%] was significantly higher in abdominal and laparascopic hysterectomy groups than the vaginal hysterectomy group and no significant difference was observed between the abdominal and laparoscopic hysterectomy groups (p = 0.037, p = 0.028, p = 0.108, respectively). Conclusion: The incidence of unexpected gynecological malignancy diagnosed after hysterectomy performed for benign conditions was very low, if the correct indications were selected.en_US
dc.identifier.doi10.31083/j.ejgo.2020.03.5435
dc.identifier.endpage407en_US
dc.identifier.issn0392-2936
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-85090547022en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage402en_US
dc.identifier.urihttps://doi.org/10.31083/j.ejgo.2020.03.5435
dc.identifier.urihttps://hdl.handle.net/20.500.12491/10440
dc.identifier.volume41en_US
dc.identifier.wosWOS:000541912000014en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.institutionauthorEkici, Mustafa Ayhan
dc.language.isoenen_US
dc.publisherImr Pressen_US
dc.relation.ispartofEuropean Journal Of Gynaecological Oncologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectHysterectomyen_US
dc.subjectUterine Malignancyen_US
dc.subjectUnexpected Malignancyen_US
dc.subjectBenign Indicationen_US
dc.subjectUnexpected Gynecologic Malignancyen_US
dc.titleLikelihood of incidental finding of gynecological cancer in women undergoing hysterectomy for benign indicationsen_US
dc.typeArticleen_US

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