PMID: 11336773May 5, 2001Paper

Uterine artery embolization in an undiagnosed uterine sarcoma

Obstetrics and Gynecology
A Al-Badr, W Faught

Abstract

Uterine sarcomas are rare malignancies that resemble benign uterine leiomyomata. Uterine artery embolization is offered increasingly for treatment of uterine leiomyomata, which might lead to embolization of undiagnosed uterine sarcoma. A 52-year-old woman, gravida 7, para 6, with perimenopausal menometrorrhagia was diagnosed with uterine leiomyomata after physical examination and transvaginal ultrasound. An endometrial biopsy was negative for malignancy. After medical treatment was unsuccessful, she had uterine artery embolization. She then passed a piece of tissue from her vagina, the pathology report of which was necrotic high-grade sarcoma. During surgery we confirmed that the tumor was confined to the uterus. Uterine sarcoma cannot be diagnosed except by pathologic examination of a resected specimen. Women considering uterine artery embolization for treatment of apparent leiomyomata should be counseled on the risk of decreased survival by delaying diagnosis and treatment of uterine sarcoma.

References

Jan 1, 1992·Gynecologic and Obstetric Investigation·K SekiI Nagata
Apr 1, 1990·American Journal of Obstetrics and Gynecology·S LeibsohnJ B Schlaerth
Feb 1, 1997·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·K HataM Hirai

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Citations

Aug 5, 2004·Abdominal Imaging·T K HelmbergerM F Reiser
Jul 15, 2009·Journal de gynécologie, obstétrique et biologie de la reproduction·C Huchon, X Fritel
Jul 15, 2009·Journal de gynécologie, obstétrique et biologie de la reproduction·J-L BrunD Dallay
Dec 7, 2013·Cardiovascular and Interventional Radiology·Edwin C ChuKevin McCluskey
Apr 18, 2002·The Journal of the American Association of Gynecologic Laparoscopists·Moises LichtingerGhea Adeboyejo
May 17, 2002·Clinical Radiology·W J WalkerC Sutton
Jun 6, 2007·American Journal of Obstetrics and Gynecology·Katherine Gabriel-CoxLee A Learman
Nov 18, 2004·American Journal of Obstetrics and Gynecology·Jay GoldbergRobert Worthington-Kirsch

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