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The incidence of uterine sarcoma in women undergoing treatment for fibroids has previously been thought to be extremely rare, however there has been recent controversy as to whether this risk has been underestimated. This article reviews the literature investigating the incidence of leiomyosarcoma and explores how different treatment modalities may affect risk from occult malignancy. We aim to provide a tool for counseling women who are considering options for the management of their fibroids. <\/jats:p>","DOI":"10.2217\/whe.14.71","type":"journal-article","created":{"date-parts":[[2015,3,17]],"date-time":"2015-03-17T11:54:54Z","timestamp":1426593294000},"page":"151-159","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Should We Abandon All Conservative Treatments for Uterine Fibroids? the Problem with Leiomyosarcomas"],"prefix":"10.1177","volume":"11","author":[{"given":"Funlayo","family":"Odejinmi","sequence":"first","affiliation":[{"name":"Whipps Cross University Hospital, Barts Health NHS Trust, Leytonstone, London, E11 1NR, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nilesh","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Northwick Park Hospital, North West London Hospitals NHS Trust, Watford Road, Harrow, Middlesex, HA1 3UJ, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate","family":"Maclaran","sequence":"additional","affiliation":[{"name":"Northwick Park Hospital, North West London Hospitals NHS Trust, Watford Road, Harrow, Middlesex, HA1 3UJ, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reeba","family":"Oliver","sequence":"additional","affiliation":[{"name":"Whipps Cross University Hospital, Barts Health NHS Trust, Leytonstone, London, E11 1NR, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,3,1]]},"reference":[{"key":"bibr1a-WHE.14.71","unstructured":"Papers of special note have been highlighted as:"},{"key":"bibr2a-WHE.14.71","unstructured":"of interest; \u2022\u2022 of considerable interest"},{"key":"bibr1-WHE.14.71","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2003.99"},{"issue":"3","key":"bibr2-WHE.14.71","first-page":"CD003677","volume":"8","author":"Nieboer TE","year":"2009","journal-title":"Cochrane Database Syst. 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