{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T10:53:15Z","timestamp":1761562395977},"reference-count":15,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2018,7,5]],"date-time":"2018-07-05T00:00:00Z","timestamp":1530748800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>In 2014, the US Food and Drug Administration issued a safety communication warning against the use of power morcellators during laparoscopic hysterectomy or myomectomy. We report a case of peritoneal leiomyosarcomatosis attributable to power morcellation. A 49\u2010year\u2010old nulligravid woman presented with a huge uterine tumor measuring 15 \u00d7 8 cm that was diagnosed as benign leiomyoma on magnetic resonance imaging. The uterine tumor had shrunk to 13 \u00d7 7 cm after five treatment courses with a gonadotropin\u2010releasing hormone agonist. She underwent laparoscopic hysterectomy using power morcellation; postoperative pathological diagnosis was benign leiomyoma. After 6 months, urinary ascites developed because of right ureteral rupture. She underwent laparotomy and was diagnosed with peritoneal leiomyosarcomatosis. Meticulous and thorough reevaluation of the morcellated specimens revealed a small component of leiomyosarcoma. Use of power morcellation should be minimized until the advent of novel methods that can perfectly differentiate benign from malignant uterine tumors preoperatively.<\/jats:p>","DOI":"10.1111\/jog.13694","type":"journal-article","created":{"date-parts":[[2018,7,5]],"date-time":"2018-07-05T09:02:51Z","timestamp":1530781371000},"page":"1843-1849","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Power morcellation\u2010induced dissemination of sarcomatous component arising in leiomyoma"],"prefix":"10.1111","volume":"44","author":[{"given":"Ikuko","family":"Emoto","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Otsu Red Cross Hospital  Otsu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaori","family":"Moriuchi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Otsu Red Cross Hospital  Otsu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shota","family":"Kanbayashi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Otsu Red Cross Hospital  Otsu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asako","family":"Inohaya","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Otsu Red Cross Hospital  Otsu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasufumi","family":"Ri","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Otsu Red Cross Hospital  Otsu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yukiyasu","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Otsu Red Cross Hospital  Otsu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,7,5]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2003.12.029"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2017.02.019"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000136079.62513.39"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2013.12.028"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/jmri.24998"},{"key":"e_1_2_5_7_1","unstructured":"Food and Drug Administration. UPDATED Laparoscopic Uterine Power Morcellation in Hysterectomy and Myomectomy: FDA Safety Communication.2014. [Cited 21 Jan 2018.] Available from URL:https:\/\/wayback.archive-it.org\/7993\/20170404182209\/https:\/www.fda.gov\/MedicalDevices\/Safety\/AlertsandNotices\/ucm424443.htm"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2016.11.1039"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1006\/gyno.1994.1014"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/modpathol.2009.122"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-2115(97)00211-X"},{"key":"e_1_2_5_12_1","first-page":"1255","article-title":"Transient shrinkage of a uterine leiomyosarcoma treated with GnRH agonist for a presumed uterine leiomyoma: Comparison of magnetic resonance imaging finding before and during GnRH agonist treatment","volume":"8","author":"Kawamura N","year":"2001","journal-title":"Oncol Rep"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/modpathol.2009.96"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-016-2727-x"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2015.08.047"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-015-3788-9"}],"container-title":["Journal of Obstetrics and Gynaecology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjog.13694","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jog.13694","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,17]],"date-time":"2023-09-17T14:37:47Z","timestamp":1694961467000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/jog.13694"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,5]]},"references-count":15,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2018,9]]}},"alternative-id":["10.1111\/jog.13694"],"URL":"https:\/\/doi.org\/10.1111\/jog.13694","archive":["Portico"],"relation":{},"ISSN":["1341-8076","1447-0756"],"issn-type":[{"value":"1341-8076","type":"print"},{"value":"1447-0756","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7,5]]},"assertion":[{"value":"2018-02-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-05-13","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-07-05","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}