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@Article{Oduyebo2016,
author="Oduyebo, Titilope
and Hinchcliff, Emily
and Meserve, Emily E.
and Seidman, Michael A.
and Quade, Bradley J.
and Rauh-Hain, J. Alejandro
and George, Suzanne
and Nucci, Marisa R.
and del Carmen, Marcela G.
and Muto, Michael G.",
title="Risk Factors for Occult Uterine Sarcoma Among Women Undergoing Minimally Invasive Gynecologic Surgery.",
journal="Journal of minimally invasive gynecology",
year="2016",
month="Jan",
day="04",
volume="23",
number="1",
pages="34--39",
keywords="Adult",
keywords="Aged",
keywords="Case-Control Studies",
keywords="Female",
keywords="Humans",
keywords="Hysterectomy",
keywords="Leiomyosarcoma",
keywords="Middle Aged",
keywords="Minimally Invasive Surgical Procedures",
keywords="Retrospective Studies",
keywords="Risk Factors",
keywords="Uterine Neoplasms",
abstract="To determine factors that can identify a population at increased risk for uterine leiomyosarcoma.",
issn="1553-4669",
doi="10.1016/j.jmig.2015.07.017",
url="http://www.ncbi.nlm.nih.gov/pubmed/26253281",
language="eng"
}

%0 Journal Article
%T Risk Factors for Occult Uterine Sarcoma Among Women Undergoing Minimally Invasive Gynecologic Surgery.
%A Oduyebo, Titilope
%A Hinchcliff, Emily
%A Meserve, Emily E.
%A Seidman, Michael A.
%A Quade, Bradley J.
%A Rauh-Hain, J. Alejandro
%A George, Suzanne
%A Nucci, Marisa R.
%A del Carmen, Marcela G.
%A Muto, Michael G.
%J Journal of minimally invasive gynecology
%D 2016
%8 Jan 04
%V 23
%N 1
%@ 1553-4669
%G eng
%F Oduyebo2016
%X To determine factors that can identify a population at increased risk for uterine leiomyosarcoma.
%K Adult
%K Aged
%K Case-Control Studies
%K Female
%K Humans
%K Hysterectomy
%K Leiomyosarcoma
%K Middle Aged
%K Minimally Invasive Surgical Procedures
%K Retrospective Studies
%K Risk Factors
%K Uterine Neoplasms
%U http://dx.doi.org/10.1016/j.jmig.2015.07.017
%U http://www.ncbi.nlm.nih.gov/pubmed/26253281
%P 34-39

PT Journal
AU Oduyebo, T
   Hinchcliff, E
   Meserve, EE
   Seidman, MA
   Quade, BJ
   Rauh-Hain, JA
   George, S
   Nucci, MR
   del Carmen, MG
   Muto, MG
TI Risk Factors for Occult Uterine Sarcoma Among Women Undergoing Minimally Invasive Gynecologic Surgery.
SO Journal of minimally invasive gynecology
JI J Minim Invasive Gynecol
PD Jan
PY 2016
BP 34
EP 39
VL 23
IS 1
DI 10.1016/j.jmig.2015.07.017
LA eng
DE Adult; Aged; Case-Control Studies; Female; Humans; Hysterectomy; Leiomyosarcoma; Middle Aged; Minimally Invasive Surgical Procedures; Retrospective Studies; Risk Factors; Uterine Neoplasms
AB To determine factors that can identify a population at increased risk for uterine leiomyosarcoma.
ER

PMID- 26253281
OWN - NLM
STAT- MEDLINE
DA  - 20160102
DCOM- 20160720
IS  - 1553-4669 (Electronic)
IS  - 1553-4650 (Linking)
VI  - 23
IP  - 1
DP  - 2016 Jan
TI  - Risk Factors for Occult Uterine Sarcoma Among Women Undergoing Minimally Invasive
      Gynecologic Surgery.
PG  - 34-9
LID - 10.1016/j.jmig.2015.07.017 [doi]
LID - S1553-4650(15)00540-3 [pii]
AB  - STUDY OBJECTIVE: To determine factors that can identify a population at increased
      risk for uterine leiomyosarcoma. DESIGN: Retrospective case-control study
      (Canadian Task Force classification II-2). SETTING: University teaching
      hospitals. PATIENTS: Seventy-two women who underwent minimally invasive
      gynecologic surgery for presumed leiomyoma. Patients diagnosed with
      leiomyosarcoma (cases) were matched with up to 4 controls on age, year of
      surgery, and surgeon specialty. INTERVENTION: Cases were identified through the
      pathology database, and the diagnosis of leiomyosarcoma or leiomyoma was
      confirmed by gynecologic pathologists. The cumulative risk of leiomyosarcoma was 
      calculated, and factors predictive of elevated risk for leiomyosarcoma were
      investigated using conditional logistic regression. MEASUREMENTS AND MAIN
      RESULTS: Fifteen patients with the diagnosis of inadvertently morcellated
      leiomyosarcoma were identified and matched with 57 controls. The cumulative risk 
      of diagnosing uterine leiomyosarcoma on pathology after performing minimally
      invasive gynecologic surgery with morcellation was 0.19% (95% confidence interval
      [CI], 0.06%-0.56%). The presence of a hematocrit value < 30% (adjusted odds ratio
      [aOR], 20; 95% CI, 1.08-100; p = .05) was independently associated with the
      diagnosis of uterine leiomyosarcoma on multivariate analysis. Increased myoma
      size (aOR, 9.73; 95% CI, 0.75-1.26; p = .08) and presence of a solitary myoma
      (aOR, 3.85; 95% CI, 0.65-25; p = .14) were associated with a greater risk of
      uterine leiomyosarcoma; however, the difference was not statistically
      significant. CONCLUSION: Anemia and myoma size >7 cm may be associated with
      occult leiomyosarcoma; however, these criteria are not sufficiently
      discriminatory to allow for preoperative identification of patients with uterine 
      sarcoma. Future large multicenter studies are needed to further investigate these
      findings and the discovery of innovative ways to detect uterine leiomyosarcoma
      are urgently needed.
CI  - Copyright (c) 2016 AAGL. Published by Elsevier Inc. All rights reserved.
FAU - Oduyebo, Titilope
AU  - Oduyebo T
AD  - Division of Gynecologic Oncology, Department of Obstetrics and Gynecology,
      Brigham and Women's Hospital, Boston, MA; Division of Gynecologic Oncology,
      Vincent Obstetrics and Gynecology, Massachusetts General Hospital, Boston, MA;
      Harvard School of Medicine, Boston, MA.
FAU - Hinchcliff, Emily
AU  - Hinchcliff E
AD  - Division of Gynecologic Oncology, Department of Obstetrics and Gynecology,
      Brigham and Women's Hospital, Boston, MA; Division of Gynecologic Oncology,
      Vincent Obstetrics and Gynecology, Massachusetts General Hospital, Boston, MA;
      Harvard School of Medicine, Boston, MA.
FAU - Meserve, Emily E
AU  - Meserve EE
AD  - Division of Women's and Perinatal Pathology, Department of Pathology, Brigham and
      Women's Hospital, Boston, MA; Harvard School of Medicine, Boston, MA.
FAU - Seidman, Michael A
AU  - Seidman MA
AD  - Division of Women's and Perinatal Pathology, Department of Pathology, Brigham and
      Women's Hospital, Boston, MA; Harvard School of Medicine, Boston, MA.
FAU - Quade, Bradley J
AU  - Quade BJ
AD  - Division of Women's and Perinatal Pathology, Department of Pathology, Brigham and
      Women's Hospital, Boston, MA; Harvard School of Medicine, Boston, MA.
FAU - Rauh-Hain, J Alejandro
AU  - Rauh-Hain JA
AD  - Division of Gynecologic Oncology, Vincent Obstetrics and Gynecology,
      Massachusetts General Hospital, Boston, MA; Harvard School of Medicine, Boston,
      MA.
FAU - George, Suzanne
AU  - George S
AD  - Harvard School of Medicine, Boston, MA; Dana-Farber Cancer Institute, Boston, MA.
FAU - Nucci, Marisa R
AU  - Nucci MR
AD  - Division of Women's and Perinatal Pathology, Department of Pathology, Brigham and
      Women's Hospital, Boston, MA; Harvard School of Medicine, Boston, MA.
FAU - del Carmen, Marcela G
AU  - del Carmen MG
AD  - Division of Gynecologic Oncology, Vincent Obstetrics and Gynecology,
      Massachusetts General Hospital, Boston, MA; Harvard School of Medicine, Boston,
      MA.
FAU - Muto, Michael G
AU  - Muto MG
AD  - Division of Gynecologic Oncology, Department of Obstetrics and Gynecology,
      Brigham and Women's Hospital, Boston, MA; Harvard School of Medicine, Boston, MA.
      Electronic address: [email protected]
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20150804
PL  - United States
TA  - J Minim Invasive Gynecol
JT  - Journal of minimally invasive gynecology
JID - 101235322
SB  - IM
MH  - Adult
MH  - Aged
MH  - Case-Control Studies
MH  - Female
MH  - Humans
MH  - *Hysterectomy/adverse effects
MH  - Leiomyosarcoma/*pathology
MH  - Middle Aged
MH  - *Minimally Invasive Surgical Procedures/adverse effects
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Uterine Neoplasms/pathology/*surgery
OTO - NOTNLM
OT  - Laparoscopy
OT  - Morcellation
OT  - Myoma
OT  - Sarcoma
OT  - Uterine leiomyosarcoma
EDAT- 2015/08/09 06:00
MHDA- 2016/07/21 06:00
CRDT- 2015/08/09 06:00
PHST- 2015/05/13 [received]
PHST- 2015/07/24 [revised]
PHST- 2015/07/24 [accepted]
PHST- 2015/08/04 [aheadofprint]
AID - S1553-4650(15)00540-3 [pii]
AID - 10.1016/j.jmig.2015.07.017 [doi]
PST - ppublish
SO  - J Minim Invasive Gynecol. 2016 Jan;23(1):34-9. doi: 10.1016/j.jmig.2015.07.017.
      Epub 2015 Aug 4.
TY  - JOUR
AU  - Oduyebo, Titilope
AU  - Hinchcliff, Emily
AU  - Meserve, Emily E.
AU  - Seidman, Michael A.
AU  - Quade, Bradley J.
AU  - Rauh-Hain, J. Alejandro
AU  - George, Suzanne
AU  - Nucci, Marisa R.
AU  - del Carmen, Marcela G.
AU  - Muto, Michael G.
PY  - 2016/Jan/04
TI  - Risk Factors for Occult Uterine Sarcoma Among Women Undergoing Minimally Invasive Gynecologic Surgery.
T2  - J Minim Invasive Gynecol
JO  - Journal of minimally invasive gynecology
SP  - 34
EP  - 39
VL  - 23
IS  - 1
KW  - Adult
KW  - Aged
KW  - Case-Control Studies
KW  - Female
KW  - Humans
KW  - Hysterectomy
KW  - Leiomyosarcoma
KW  - Middle Aged
KW  - Minimally Invasive Surgical Procedures
KW  - Retrospective Studies
KW  - Risk Factors
KW  - Uterine Neoplasms
N2  - To determine factors that can identify a population at increased risk for uterine leiomyosarcoma.
SN  - 1553-4669
UR  - http://dx.doi.org/10.1016/j.jmig.2015.07.017
UR  - http://www.ncbi.nlm.nih.gov/pubmed/26253281
ID  - Oduyebo2016
ER  - 
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