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Case Reports
. 2015 Sep 25:14:20-2.
doi: 10.1016/j.gore.2015.09.003. eCollection 2015 Nov.

Incidental placenta increta at the time of prophylactic hysterectomy for Lynch syndrome: Insights into individualized decision-making and surgical timing

Tara A Nielsen  1 , Stephanie N David  2 , Mohamed M Desouki  2 , Marta A Crispens  1 , Dineo Khabele  1
Affiliations
Case Reports

Incidental placenta increta at the time of prophylactic hysterectomy for Lynch syndrome: Insights into individualized decision-making and surgical timing

Tara A Nielsen et al. Gynecol Oncol Rep. .

Abstract

•Increta in a prophylactic hysterectomy specimen for Lynch syndrome is rare.•Individualizing risk-reducing procedures after childbearing is important.•Shared decision making should include the timing of prophylactic surgery.•Minimizing surgical risks in the postpartum period should be discussed.

Keywords: Lynch syndrome; Placenta increta; Prophylactic hysterectomy; Surgical timing.

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Figures

Fig. 1
Fig. 1
Placenta increta and endometrial hyperplasia with atypia. A) A representative section from the endometrial biopsy shows hyalinized and infarcted chorionic villi with dystrophic calcifications. B) The hysterectomy specimen shows extensive involvement of the myometrium by similar hyalinized tissue consistent with placenta increta. C) A portion of the hysterectomy specimen shows myometrial blood vessels with thickened muscular walls and infiltration with hyalinized material consistent with placenta increta. D) A portion of the hysterectomy specimen in proximity to the increta shows hyperplastic endometrial glands and focal atypia.
See this image and copyright information in PMC

References

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