Evaluation of uterine myomas using the leuven score (LS) as a predictor of sarcoma: a retrospective analysis

Introduction: Uterine fibroid is very common. Despite new conservative options, hysterectomy remains the main therapy worldwide. Morcellation has enabled the removal of large uteri via laparoscopy. However, the dramatic outcome in case of sarcoma morcellation has led the FDA to no longer recommend it, leading to more invasive procedures with higher morbidity and costs. Today, there are no reliable criteria to distiguish between benign fibroid and sarcoma. This study aims to analyze whether the Leuven score (LS) permits a classification in high- and low risk clusters for best surgical procedure selection. Materia…