Uterine fibroids represent the most common type of benign tumor of female genital tract with rate of incidence between 20% and 30% in women older than 35 years. According to current bibliography, the percentage is still increasing due to the fact that many women are postponing their reproductive mapping. Laparoscopic morcellation of uterine fibroids and uterus specimen after hysterectomies has great clinical significance, concerning dissemination and implantation of uterine fragments inside the peritoneal cavity. Parasitic myomas reveal a rare entity, reflecting a broad spectrum of pathogenesis. In cases of parasitic uterine fibroids surgical dissection is mandatory to avoid signs of malignancy.

Myxoid degeneration of ovarian tumors represents a rare distinctive benign ovarian stromal neoplasm that occurs predominantly in young women and is hormonally inactive. According to recent bibliography, pathogenesis remains controversial. Many conducted studies express the strong belief adjusting myxoid ovarian tumors with genetic abnormalities. Therapeutic mapping is associated with histologic confirmation of the lesion. In cases of premenopausal patients, fertility preservation consists of ultimate scope. Abdominal MRI (magnetic resonance imaging) along with transvaginal ultrasound can differentiate and depict all preoperative imaging findings. Myxoid degenerated ovarian tumors can be malignant transformed into myxoid leiomyosarcomas with extremely metastatic possibilities. Meticulous atomic history, proper laboratory and imaging findings reflect successful key concerning ultimate diagnosis and treatment.

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Fibroids represent benign tumors consistingof smooth muscle cells and fibrous connective tissue. In most of cases, they develop inside the uterine cavity.It is estimated that 70-80% of women will develop fibroids in their lifetime-however, not everyone will develop symptoms or require treatment.Cause of uterine fibroids is not known, although studies demonstrate there may be a genetic component. There is no food or external exposure that a woman can have that can cause her to develop fibroids. Ultimate goal remains fertility preservation, especially in young premenopausal patients.Laparoscopic approach represents proper surgical option depending on the age of the patient, the size and anatomic location of the uterine fibroids.

Endometrial cancer represents the second most frequent malignant entity among gynecologic malignancies. Many predisposition factors reflect and affect the chronical outcome of the lesion. Age of the patient, obesity, postmenopausal vaginal bleeding among with endometrial hyperplasia, histologic type, grading, staging, vascular or lymph node penetration consist factors with direct depiction concerning the therapeutic mapping. Sentinel node consists the first regional lymph node infiltration, indicating local or external spread of the lesion. In order to explore and investigate potential infiltration or metastatic capability of the lesion, sentinel mode infiltration represents optimal solution. According to current bibliography, sentinel node infiltration depicts increased sensitivity and specificity concerning surgical or conservative therapeutic management. Aim of our study represents assiduous decoding of sentinel node infiltration and potential metastatic pathways, with ultimate scope the increased optimal survival and quality of life of the patient.