15 Years of Uterine Sarcomas in a Third-Level Private University Hospital in Mexico City

Study Objective To determine the 15-year incidence of uterine sarcomas in patients from a third-level private university hospital in Mexico City. Design Retrospective, observational, descriptive study carried out from 2005 to 2020. Setting Review of clinical records and bibliography. Patients or Participants A total of 4650 records of patient cases of uterine tumors were found in the review of records in search of pathology samples from patients who underwent surgery to remove uterine tumors. Interventions Observational, retrospective, and descriptive study. Measurements and Main Results A total of 4650 patient records with uterine tumors who underwent gynecological surgery were collected in the period between 2005 and 2020. From the total number of patients undergoing gynecological surgery for removal of any origin (malignant or benign) uterine tumors, a total of 11 uterine sarcomas’ cases were found in the review of the last 15 years of this hospital, which represents an incidence of 0.23% of sarcomas of all uterine tumor cases. The age range was from 39 to 87 years with an average age of 59 years and a mean age above 50 years in 90% of the cases (n = 10). Abnormal uterine bleeding was the main symptom and cause for surgery in all cases. Conclusion The prevalence in our hospital is comparable with the data published in world-wide literature. Even though the incidence of uterine sarcomas is low, this diagnosis should be considered, especially in patients with postmenopausal bleeding and aged over 50 years who undergo surgical procedures for uterine tumors.