Chrome 2001
.
Aetna Intelihealth InteliHealth Aetna Intelihealth Aetna Intelihealth
 
.
. .
.
Chrome 2001
Chrome 2001
Health News Health News
.
Technique Used in Some Hysterectomies May Help Spread Cancer: Study
July 22, 2014

 

TUESDAY, July 22, 2014 (HealthDay News) -- 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 10,000 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 65.

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.

"With this procedure, you are breaking up the uterus," said study researcher Dr. Jason Wright, chief of gynecologic oncology at the Columbia University College of Physicians and Surgeons in New York City.

"You are essentially cutting through a cancer [if it is present] and that could theoretically spread the cancer to outside the uterus," he explained.

That risk is not present when the uterus is removed intact, as in a conventional hysterectomy, he said.

For the new study, published online July 22 in the Journal of the American Medical Association, Wright evaluated insurance data from more than 500 hospitals. Previous research, he said, centered on reports from single hospitals, which estimated the risk at 9 to 100 of every 10,000 women who underwent the procedure.

In April, the U.S. 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.

Other options are available that don't involve morcellation, according to the FDA. It is continuing to study the procedure.

About 500,000 hysterectomies are done annually in the United States for such problems as uterine cancer and fibroids, according to the U.S. Centers for Disease Control and Prevention.

Wright identified more than 230,000 women who underwent minimally invasive hysterectomy from 2006 through 2012. Of those, about 36,000 women had the morcellation technique. Among these, 99 cases of uterine cancer were found. That translates to about 27 women in every 10,000.

The older the woman, the more likely she 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. Michael Strongin, chief of gynecologic surgery at Lenox Hill Hospital in New York City.

"I think the important take-home is, the older the patient who is undergoing a procedure like power morcellation, the greater the potential for finding unsuspected malignancies," said Strongin, who was not involved in the study. "Consequently, that should be a tremendous factor in physicians deciding whether it is appropriate to use that particular technique."

Women need to discuss the pros and cons of the procedure with their doctor, Wright said.

Weighing the risks and benefits is important, Strongin said. "[The study] shows the relative risk for women under 40 is very much different than for women who are over 65."

More information

To learn more about morcellation, visit the American College of Obstetricians and Gynecologists.

Copyright © 2014 HealthDay. All rights reserved.


SOURCES: Jason Wright, M.D., chief, gynecologic oncology, associate professor, women's health, and associate professor, obstetrics and gynecology, Columbia University College of Physicians and Surgeons, New York City; Michael Strongin, M.D., chief, g...

InteliHealth
.
.
.
.
.
More News
InteliHealth .
.
General Health News
Today's News
Today In Health History
This Week In Health
Addiction News
Allergy News
Alzheimer's News
Arthritis News
Asthma News
Babies News
Breast Cancer News
Bronchitis News
Cancer News
Cervical Cancer News
Children's Health News
Cholesterol News
Dental/Oral Health News
Depression News
Diabetes News
Ear, Nose And Throat News
Environmental Health News
Eye News
Fitness News
Genetics News
Headache News
Health Policy News
Heart Attack News
Heart Failure News
Heart Health News
HIV/AIDS News
Infectious Diseases News
Influenza News
Lung Cancer News
Medication News
Men's Health News
Mental Health News
Multiple Sclerosis News
Nutrition News
Parkinson's News
Pregnancy News
Prostate Cancer News
Schizophrenia
Senior Health News
Sexual/Reproductive Health News
Sexual dysfunction
Sleep News
STDs News
Stroke News
Tobacco Cessation News
Weight Management News
Women's Health News
.
.
.
.
InteliHealth
    Print Printer-friendly format    
   
.  
This website is certified by Health On the Net Foundation. Click to verify.
.