Médico residente de Ginecología y Obstetricia, Hospital Universitario de La Samaritana, Bogotá (Colombia).
Médico general, Hospital Universitario de La Samaritana, Bogotá (Colombia).
Rev Colomb Obstet Ginecol. 2024 Sep 2;75(2):4174. doi: 10.18597/rcog.4174.
To describe the prevalence of incidental malignant pathology following a hysterectomy performed for benign reasons.
A descriptive cross-sectional study based on hospital records. Women who underwent hysterectomy for benign reasons at a general referral hospital between 2013 and 2021 were included. Women with obstetric hysterectomy were excluded. Measured variables: age, route of hysterectomy, type of hysterectomy, histopathological diagnosis of premalignant lesion or invasive cancer, type of cancer. Analysis: Descriptive, the prevalence of preneoplastic and neoplastic conditions was estimated for the overall period.
Of 816 clinical records, 674 cases (87 %) met the inclusion criteria and were analyzed. The premenopausal population predominated. Twentysix cases of unexpected malignant disease were identified, yielding a prevalence of 3.8 %, and 13 cases of premalignant pathology (1.9 %). The most common origin was the cervix (40 %), followed by the ovary (33 %).
Patients undergoing hysterectomy for benign conditions should be informed about the risk of unexpected injury. The importance of performing, in our context an adequate preoperative approach to rule out cervix uteri and ovarian cancer is emphasized. Follow-up studies of patients with unanticipated cancer are required to determine their treatment and prognosis in the region.
描述因良性原因行子宫切除术时偶然发现恶性病理的发生率。
基于医院病历的描述性横断面研究。纳入 2013 年至 2021 年间在一家综合转诊医院因良性原因行子宫切除术的女性。排除产科子宫切除术的女性。测量变量：年龄、子宫切除术途径、子宫切除术类型、癌前病变或浸润性癌的组织病理学诊断、癌症类型。分析：描述性分析，估计整个时期癌前病变和肿瘤性疾病的发生率。
在 816 份临床记录中，符合纳入标准并进行分析的有 674 例（87%）。绝经期前人群为主。发现 26 例意外恶性疾病，发生率为 3.8%，13 例癌前病变（1.9%）。最常见的起源是宫颈（40%），其次是卵巢（33%）。
因良性疾病行子宫切除术的患者应被告知意外损伤的风险。强调在我们的环境中，术前应进行充分的检查以排除子宫颈和卵巢癌的重要性。需要对意外发现癌症的患者进行随访研究，以确定其在该地区的治疗和预后。
