morcelliert übersandten, offenbar supracervikal abgesetzten Uterus

English translation: uterus, apparently removed by supracervical hysterectomy and sent morcellated [to the lab]

GLOSSARY ENTRY (DERIVED FROM QUESTION BELOW)
German term or phrase:morcelliert übersandten, offenbar supracervikal abgesetzten Uterus
English translation:uterus, apparently removed by supracervical hysterectomy and sent morcellated [to the lab]
Entered by: knscott

03:14 Jan 13, 2016
German to English translations [PRO]
Medical - Medical (general) / Gynäkologie
German term or phrase: morcelliert übersandten, offenbar supracervikal abgesetzten Uterus
Diagnosis
Symptomatic uterine myomatosus

Histologie:
Es handelt sich um einen morcelliert übersandten, offenbar supracervikal abgesetzten Uterus mit einer Adenomyosis interna und einem 1 cm großen, mäßig regressiv veränderten Leiomyom.

What does "übersandt" mean in this context? And "abgesetzt"?

Thank you in advance!
knscott
United States
Local time: 09:41
uterus, apparently removed by supracervical hysterectomy and sent morcellated [to the lab]
Explanation:
or 'uterus. apparently removed by supracervcal morcellated hysterectomy and sent to us/sent to the lab' or similar

A morcellator is a surgical instrument used for division and removal of large masses of tissues during laparoscopic surgery.[1] In laparoscopic hysterectomy the uterus is minced up, or morcellated, into smaller pieces inside the woman's belly cavity in order to extract from the abdomen. It can consist of a hollow cylinder that penetrates the abdominal wall, ending with sharp edges[1] or cutting jaws,[2] through which a grasper can be inserted to pull the mass into the cylinder to cut out an extractable piece.[1][2]
https://en.wikipedia.org/wiki/Morcellator

The histologicic identification of endocervix may not be as readily performed in the morcellated uterine specimens compared to the non-morcellated uterus. This finding may suggest that uterine amputation took place superior to the level of the internal os among the LSH group. Preoperative assessment of endometrium is essential to avoid inadvertent morcellation of abnormal endometrium.
http://www.jmig.org/article/S1553-4650(09)00622-0/fulltext

Histologic evaluation of the morcellated uterus was unremarkable. Five months later the patient was diagnosed with a pelvic mass consistent with an undifferentiated adenocarcinoma. Retrospective evaluation of the cored and morcellated hysterectomy specimen showed clusters of malignant cells that may have been detected by preoperative curettage.
http://www.ncbi.nlm.nih.gov/pubmed/9290479


Selected response from:

Marga Shaw
United Kingdom
Local time: 15:41
Grading comment
Vielen Dank!
4 KudoZ points were awarded for this answer



Summary of answers provided
3 +2uterus, apparently removed by supracervical hysterectomy and sent morcellated [to the lab]
Marga Shaw
3 +1shredded, sent, apparently supracervically removed uterus
David Tracey, PhD
Summary of reference entries provided
Patricia Daehler

  

Answers


27 mins   confidence: Answerer confidence 3/5Answerer confidence 3/5 peer agreement (net): +1
shredded, sent, apparently supracervically removed uterus


Explanation:
The target term is a literal translation.
"ubersandt" is the past participle of "übersenden".
"abgesetzt" in this context is 'removed'.

For example:
"bei mir wurde im Oktober 2008 eine Gebärmutterentfernung laparoskopisch (Bauchspiegelung, 3 kleine Schnitte) - nennt man auch suprazervikale Hysterektomie - vorgenommen. Der Gebärmutterhals bleibt bei dieser Methode stehen und die Gebärmutter wird im Körper morcelliert (zerkleinert) und dann über diese kleinen Schnitte entfernt."
http://www.medizin-forum.de/phpbb/viewtopic.php?f=27&t=10938...

--------------------------------------------------
Note added at 29 mins (2016-01-13 03:44:05 GMT)
--------------------------------------------------

'ubersandt' in the explanation should of course be 'übersandt'.

--------------------------------------------------
Note added at 32 mins (2016-01-13 03:46:46 GMT)
--------------------------------------------------

'resected' might be another option for 'abgesetzt', but I think that 'removed' is actually better in the context.

David Tracey, PhD
Local time: 16:41
Specializes in field
Native speaker of: Native in EnglishEnglish
PRO pts in category: 1101

Peer comments on this answer (and responses from the answerer)
agree  Patricia Daehler: I would use morcellated instead of shredded, see reference below
12 hrs
  -> Many thanks, Patricia.
Login to enter a peer comment (or grade)

12 hrs   confidence: Answerer confidence 3/5Answerer confidence 3/5 peer agreement (net): +2
uterus, apparently removed by supracervical hysterectomy and sent morcellated [to the lab]


Explanation:
or 'uterus. apparently removed by supracervcal morcellated hysterectomy and sent to us/sent to the lab' or similar

A morcellator is a surgical instrument used for division and removal of large masses of tissues during laparoscopic surgery.[1] In laparoscopic hysterectomy the uterus is minced up, or morcellated, into smaller pieces inside the woman's belly cavity in order to extract from the abdomen. It can consist of a hollow cylinder that penetrates the abdominal wall, ending with sharp edges[1] or cutting jaws,[2] through which a grasper can be inserted to pull the mass into the cylinder to cut out an extractable piece.[1][2]
https://en.wikipedia.org/wiki/Morcellator

The histologicic identification of endocervix may not be as readily performed in the morcellated uterine specimens compared to the non-morcellated uterus. This finding may suggest that uterine amputation took place superior to the level of the internal os among the LSH group. Preoperative assessment of endometrium is essential to avoid inadvertent morcellation of abnormal endometrium.
http://www.jmig.org/article/S1553-4650(09)00622-0/fulltext

Histologic evaluation of the morcellated uterus was unremarkable. Five months later the patient was diagnosed with a pelvic mass consistent with an undifferentiated adenocarcinoma. Retrospective evaluation of the cored and morcellated hysterectomy specimen showed clusters of malignant cells that may have been detected by preoperative curettage.
http://www.ncbi.nlm.nih.gov/pubmed/9290479




Marga Shaw
United Kingdom
Local time: 15:41
Specializes in field
Native speaker of: German
PRO pts in category: 700
Grading comment
Vielen Dank!

Peer comments on this answer (and responses from the answerer)
agree  David Tracey, PhD: Yes, that's an improvement.
2 mins
  -> Thank you, David!

agree  Patricia Daehler
18 mins
  -> Thank you, Patricia!
Login to enter a peer comment (or grade)




Reference comments


12 hrs
Reference

Reference information:
The terms morcellated and morcellation have been in the news here a lot since morcellation upstaged a previously unknown cancer of a renowned anesthesiologist (and mother of six young children). She and her husband, a well known surgeon, have fought very hard to stop the procedure in the US.
Scroll about halfway down the article for a diagram with an explanation of morcellation.

If a woman's uterus is morcellated inside her body, cancer cells are spewed around the abdomen, where they cling to internal organs and, inevitably, grow. Even benign tissue that's morcellated can implant in the abdomen and trigger pain, bowel obstructions, and other problems.
http://www.prevention.com/health/health-concerns/morcellatio...

FDA discourages use of laparoscopic power morcellation for removal of uterus or uterine fibroids
Procedure poses risk of spreading undetected cancerous tissue in women with unsuspected cancer
http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/uc...

Patricia Daehler
United States
Specializes in field
Native speaker of: German
PRO pts in category: 491
Login to enter a peer comment (or grade)



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