{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T16:06:36Z","timestamp":1776096396528,"version":"3.50.1"},"reference-count":16,"publisher":"Federacion Colombiana de Obstetricia y Ginecologia","issue":"2","license":[{"start":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T00:00:00Z","timestamp":1725235200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T00:00:00Z","timestamp":1725235200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["revista.fecolsog.org"],"crossmark-restriction":false},"short-container-title":["Rev. colomb. obstet. ginecol."],"abstract":"<jats:p>Objetivo: describir la prevalencia de patolog\u00eda maligna incidental posterior a una histerectom\u00eda por causa benigna.\nM\u00e9todo: estudio de corte transversal descriptivo, basado en registros hospitalarios. Se incluyeron mujeres a quienes se les realiz\u00f3 una histerectom\u00eda por causa benigna en un hospital general de referencia entre 2013 y 2021. Se excluyeron mujeres con histerectom\u00eda obst\u00e9trica. Variables medidas: edad, v\u00eda de la histerectom\u00eda, tipo de histerectom\u00eda, diagn\u00f3stico histopatol\u00f3gico de lesi\u00f3n premaligna o de c\u00e1ncer invasor, tipo de c\u00e1ncer. An\u00e1lisis: descriptivo, se estim\u00f3 la prevalencia en el periodo global de condiciones preneopl\u00e1sicas y neopl\u00e1sicas.\nResultado: de 816 registros cl\u00ednicos se analizaron 674 casos (87 %) que cumplieron los criterios de inclusi\u00f3n. Predomin\u00f3 la poblaci\u00f3n premenop\u00e1usica. Se identificaron 26 casos de enfermedad maligna no anticipada para una prevalencia del 3,8 % y 13 casos de patolog\u00eda premaligna (1,9 %). El origen m\u00e1s frecuente fue el cuello uterino (40 %) seguido del ovario (33 %).\nConclusiones: se debe considerar informar riesgo de lesi\u00f3n no esperada a las pacientes que ser\u00e1n sometidas a histerectom\u00eda por condici\u00f3n benigna. Se enfatiza la importancia de realizar una adecuada aproximaci\u00f3n prequir\u00fargica, en especial para descartar c\u00e1ncer de ovario y c\u00e9rvix en nuestro medio. Se requieren estudios de seguimiento de las pacientes con c\u00e1ncer no anticipado para determinar el tratamiento y su pron\u00f3stico en la regi\u00f3n.<\/jats:p>","DOI":"10.18597\/rcog.4174","type":"journal-article","created":{"date-parts":[[2024,10,7]],"date-time":"2024-10-07T18:48:56Z","timestamp":1728326936000},"update-policy":"https:\/\/doi.org\/10.18597\/crossmark","source":"Crossref","is-referenced-by-count":1,"title":["Prevalencia de enfermedad maligna no anticipada en la histopatolog\u00eda de histerectom\u00eda indicada por condici\u00f3n benigna","Prevalence of unexpected malignant disease in the histopathology of hysterectomy indicated for benign condition","INCID\u00caNCIA DE DOEN\u00c7A MALIGNA INCIDENTAL AP\u00d3S HISTERECTOMIA INDICADA PARA PATOLOGIA BENIGNA."],"prefix":"10.18597","volume":"75","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9131-5419","authenticated-orcid":false,"given":"Isabela","family":"Sanchez Mayorca","sequence":"first","affiliation":[{"name":"Resident physician in Gynecology and Obstetrics, Hospital Universitario de La Samaritana, Bogot\u00e1 (Colombia)."},{"name":"M\u00e9dico residente de Ginecolog\u00eda y Obstetricia, Hospital Universitario de La Samaritana, Bogot\u00e1 (Colombia)."},{"name":"Resident physician in Gynecology and Obstetrics, Hospital Universitario de La Samaritana, Bogot\u00e1 (Colombia)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0729-122X","authenticated-orcid":false,"given":"Angela Mar\u00eda","family":"G\u00f3mez Forero","sequence":"additional","affiliation":[{"name":"General Practitioner, Hospital Universitario de La Samaritana, Bogot\u00e1 (Colombia)."},{"name":"M\u00e9dico general, Hospital Universitario de La Samaritana, Bogot\u00e1 (Colombia)."},{"name":"General Practitioner, Hospital Universitario de La Samaritana, Bogot\u00e1 (Colombia)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6652-6991","authenticated-orcid":false,"given":"Roberto","family":"Gallo Roa","sequence":"additional","affiliation":[{"name":"Specialist in Gynecology and Obstetrics, , Hospital Universitario de La Samaritana, Bogot\u00e1 (Colombia)."},{"name":"M\u00e9dico especialista en Ginecolog\u00eda y Obstetricia, Hospital Universitario de La Samaritana, Bogot\u00e1 (Colombia)."},{"name":"Specialist in Gynecology and Obstetrics, , Hospital Universitario de La Samaritana, Bogot\u00e1 (Colombia)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2844-0473","authenticated-orcid":false,"given":"Camilo Alberto","family":"Garz\u00f3n Sarmiento","sequence":"additional","affiliation":[{"name":"Specialist in Gynecology and Obstetrics, specialist in Urogynecology and Pelvic Floor Surgery, Hospital Universitario de La Samaritana, Bogot\u00e1 (Colombia)."},{"name":"M\u00e9dico especialista en Ginecolog\u00eda y Obstetricia, especialista en Uroginecolog\u00eda y Cirug\u00eda de piso p\u00e9lvico, Hospital Universitario de La Samaritana, Bogot\u00e1 (Colombia)."},{"name":"Specialist in Gynecology and Obstetrics, specialist in Urogynecology and Pelvic Floor Surgery, Hospital Universitario de La Samaritana, Bogot\u00e1 (Colombia)."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7913","published-online":{"date-parts":[[2024,9,2]]},"reference":[{"key":"100240","doi-asserted-by":"crossref","unstructured":"Stang A, Merrill R, Kuss O. 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Risk of incidental genital tract malignancies at the time of myomectomy and hysterectomy for benign conditions. Obstet Gynecol Sci. 2021;64(2):209-15. https:\/\/doi.org\/10.5468\/ogs.20199","DOI":"10.5468\/ogs.20199"},{"key":"100247","doi-asserted-by":"crossref","unstructured":"Desai V, Wright J, Gross C, Lin H, Boscoe F, Hutchison L, et al. Prevalence, characteristics, and risk factors of occult uterine cancer in presumed benign hysterectomy. Am J Obstet Gynecol. 2019;221(1):39.e1-39.e14. https:\/\/doi.org\/10.1016\/j.ajog.2019.02.051","DOI":"10.1016\/j.ajog.2019.02.051"},{"key":"100248","doi-asserted-by":"crossref","unstructured":"Ruengkhachorn I, Phithakwatchara N, Viriyapak B, Sangkarat S, Hanamornroongruang S, Petsuksiri J. Comparison of oncologic outcomes of unanticipated cervical carcinoma in women undergoing inadvertent simple hysterectomy and those undergoing surgical treatment after preoperative diagnosis. Gynecol Oncol. 2019;153(2):248-54. https:\/\/doi.org\/10.1016\/j.ygyno.2019.02.025","DOI":"10.1016\/j.ygyno.2019.02.025"},{"key":"100249","doi-asserted-by":"crossref","unstructured":"Bravo S, Fern\u00e1ndez M, Vivaldi E, Torres L, Gonz\u00e1lez U, Villagra O, et al. C\u00e1ncer incidental de c\u00e9rvix (CIC). Rev Chil Obstet Ginecol. 2002;67(5):372-6. https:\/\/doi.org\/10.4067\/S0717-75262002000500008","DOI":"10.4067\/S0717-75262002000500008"},{"key":"100250","unstructured":"Ministerio de Salud y Protecci\u00f3n Social. Gu\u00eda de Pr\u00e1ctica Cl\u00ednica para la detecci\u00f3n y manejo de lesions precancerosas de cuello uterino. Gu\u00eda complete. Colombia: Ministerio de Salud y Protecci\u00f3n Social; 2014."},{"key":"100251","doi-asserted-by":"crossref","unstructured":"Sobczuk K, Sobczuk A. New classification system of endometrial hyperplasia WHO 2014 and its clinical implications. 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