IMR Press / EJGO / Volume 43 / Issue 2 / DOI: 10.31083/j.ejgo4302044
Open Access Case Report
Uterine cavity evacuation as a novel approach for uterine size reduction during minimal invasive surgery for uterine carcinosarcoma: a report of two cases
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1 Department of Obstetrics & Gynecology and Women’s Health, Montefiore Medical Center, Bronx, NY 10461, USA
2 Department of Obstetrics & Gynecology and Women’s Health, Division of Gynecologic Oncology, Montefiore Medical Center, Bronx, NY 10461, USA
3 Department of Radiology, Montefiore Medical Center, Bronx, NY 10461, USA
4 Albert Einstein Cancer Center, Albert Einstein College of Medicine, Bronx, NY 10461, USA
*Correspondence: (Alice Hue Chen)
Academic Editor: Enrique Hernandez
Eur. J. Gynaecol. Oncol. 2022, 43(2), 372–376;
Submitted: 23 February 2021 | Revised: 1 April 2021 | Accepted: 27 April 2021 | Published: 15 April 2022
Copyright: © 2022 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.

Background: Uterine carcinosarcoma often presents with significant uterine distention. This makes it difficult to perform minimally invasive surgery, which is preferred for uterine cancer given the significant recovery benefits. Cases: We present two cases of uterine carcinosarcoma in which we performed uterine evacuation intraoperatively to decompress the uterine volume to facilitate specimen removal through the vagina. The first patient ultimately had stage IA disease. She received adjuvant chemotherapy and radiation and has remained disease-free for 2 years. The second patient had stage IVB disease on final pathology report. She received adjuvant chemotherapy but had disease recurrence 4 months after completion of treatment. Conclusion: Intraoperative uterine evacuation during surgery for uterine carcinosarcoma may make possible a minimally invasive procedure in patients with large, distended uteri.

Uterine carcinosarcoma
Minimally invasive surgery
Surgical techniques
Fig. 1.
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