Therapeutic failure of uterine fibroid embolization caused by underlying leiomyosarcoma

被引:25
作者
Common, AA
Mocarski, EJM
Kolin, A
Pron, G
Soucie, J
机构
[1] St Michaels Hosp, Dept Med Imaging, Toronto, ON M5B 1W8, Canada
[2] St Michaels Hosp, Dept Obstet & Gynecol, Toronto, ON M5B 1W8, Canada
[3] St Michaels Hosp, Dept Pathol, Toronto, ON M5B 1W8, Canada
[4] Univ Toronto, Dept Med Imaging, Div Epidemiol, Toronto, ON, Canada
关键词
fibroid; uterus; neoplasms; uterine arteries; embolization;
D O I
10.1016/S1051-0443(07)61708-4
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
The authors describe an unusual case in which continued growth of uterine fibroids in a postmenopausal patient after polyvinyl alcohol embolization therapy prompted hysterectomy, which revealed an underlying leiomyosarcoma. The surgery was nearly fatal as a result of venous bleeding, and parasitization of blood from adjacent bowel by the tumor was noted. The difficulty of preoperative diagnosis of leiomyosarcoma and the need for diligent follow-up after uterine fibroid embolization are discussed.
引用
收藏
页码:1449 / 1452
页数:4
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