Uterine artery embolization in patients with symptomatic diffuse leiomyomatosis of the uterus

被引：20

作者：

Scheurig, Christian ^{[1
]}

Islam, Tina ^{[1
]}

Zimmermann, Elke ^{[1
]}

Hamm, Bernd ^{[1
]}

Kroencke, Thomas J. ^{[1
]}

机构：

[1] Charite, Dept Radiol, D-10117 Berlin, Germany

来源：

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY | 2008年 / 19卷 / 02期

关键词：

D O I：

10.1016/j.jvir.2007.10.017

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Six patients with symptomatic diffuse uterine leiomyomatosis underwent technically successful uterine artery embolization. After a median follow-up of 16 months, five women presented with permanent alleviation of symptoms and a normalized quality of life according to the Uterine Fibroid Symptom and Quality of Life questionnaire. Magnetic resonance imaging showed impressive recovery of the myometrium, and the infarcted leiomyomas shrank and were partially expelled. No additional treatment was necessary. Failure of therapy occurred in one patient with atypical growth of fibroid tumor tissue shortly after embolization, which was suspicious for malignancy. Hysterectomy was performed and pathologic evaluation revealed benign leiomyomatosis.

引用

页码：279 / 284

页数：6

共 18 条

[1] Edwards RD, 2007, NEW ENGL J MED, V356, P360
[2] Fedele L, 1982, Acta Eur Fertil, V13, P125
[3] Uterine arterial embolization for the treatment of diffuse leiomyomatosis
Kido, A
Monma, C
Togashi, K
Ueda, H
Itoh, K
Fujii, S
Konishi, J
[J]. JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2003, 14 (05) : 643 - 647
[4] Disintegration and stepwise expulsion of a large uterine leiomyoma with restoration of the uterine architecture after successful uterine fibroid embolization: Case report
Kroencke, TJ
Gauruder-Burmester, A
Enzweiler, CNH
Taupitz, M
Hamm, B
[J]. HUMAN REPRODUCTION, 2003, 18 (04) : 863 - 865
[5] KROENCKE TJ, 2004, ROFO FORTSCHR RONTG, V176, P580
[6] Late leiomyoma expulsion after uterine artery embolization
Marret, H
Keris, YLB
Acker, O
Cottier, JP
Herbreteau, D
[J]. JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2004, 15 (12) : 1483 - 1485
[7] Uterine fibroid embolization: Nonsurgical treatment for symptomatic fibroids
McLucas, B
Adler, L
Perrella, R
[J]. JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2001, 192 (01) : 95 - 105
[8] DIFFUSE LEIOMYOMATOSIS OF THE UTERUS
MULVANY, NJ
OSTOR, AG
ROSS, I
[J]. HISTOPATHOLOGY, 1995, 27 (02) : 175 - 179
[9] PELVIC ORGANS IN PREMENARCHEAL GIRLS - REAL-TIME ULTRASONOGRAPHY
ORSINI, LF
SALARDI, S
PILU, G
BOVICELLI, L
CACCIARI, E
[J]. RADIOLOGY, 1984, 153 (01) : 113 - 116
[10] Uterine artery embolization for symptomatic fibroids: short-term versus mid-term changes in disease-specific symptoms, quality of life and magnetic resonance imaging results
Scheurig, C.
Gauruder-Burmester, A.
Kluner, C.
Kurzeja, R.
Lembcke, A.
Zimmermann, E.
Hamm, B.
Kroencke, T.
[J]. HUMAN REPRODUCTION, 2006, 21 (12) : 3270 - 3277

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