Abstract
Objective: We report a case of uterine leiomyosarcoma occurring after uterine artery embolization and review the previously published cases. We estimate the incidence of sarcoma after UAE, the mean diagnostic delay in young women undergoing this procedure and review the potential and limits of preoperative procedures in diagnosing uterine sarcomas. Case report: A 35-year-old woman had an early failure after UAE. She underwent surgery 13 months after the procedure. Final pathologic report was consistent with uterine leiomyosarcoma. Conclusion: Incidence of uterine sarcomas after UAE is low, probably similar to that of misdiagnosed leiomyosarcomas in women undergoing surgery for presumed symptomatic leiomyomas. Therefore a relation between the procedure and the malignancy seems to be very unlikely. Diagnostic delay in menstruated women younger than 50 undergoing UAE for presumed symptomatic leiomyoma ranges between 13 and 15 months. The safest procedure for women who fail the conservative management of leiomyoma with UAE is surgical, allowing for definitive pathologic exclusion of malignancy.
| Original language | English |
|---|---|
| Pages (from-to) | 260-263 |
| Number of pages | 4 |
| Journal | Gynecologic Oncology |
| Volume | 104 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Jan 2007 |
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Keywords
- Leiomyoma
- Uterine artery embolization
- Uterine sarcoma
ASJC Scopus subject areas
- Obstetrics and Gynaecology
- Oncology
Cite this
Uterine sarcoma occurring in a premenopausal patient after uterine artery embolization : A case report and review of the literature. / Papadia, Andrea; Salom, Emery M.; Fulcheri, Ezio; Ragni, Nicola.
In: Gynecologic Oncology, Vol. 104, No. 1, 01.2007, p. 260-263.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Uterine sarcoma occurring in a premenopausal patient after uterine artery embolization
T2 - A case report and review of the literature
AU - Papadia, Andrea
AU - Salom, Emery M.
AU - Fulcheri, Ezio
AU - Ragni, Nicola
PY - 2007/1
Y1 - 2007/1
N2 - Objective: We report a case of uterine leiomyosarcoma occurring after uterine artery embolization and review the previously published cases. We estimate the incidence of sarcoma after UAE, the mean diagnostic delay in young women undergoing this procedure and review the potential and limits of preoperative procedures in diagnosing uterine sarcomas. Case report: A 35-year-old woman had an early failure after UAE. She underwent surgery 13 months after the procedure. Final pathologic report was consistent with uterine leiomyosarcoma. Conclusion: Incidence of uterine sarcomas after UAE is low, probably similar to that of misdiagnosed leiomyosarcomas in women undergoing surgery for presumed symptomatic leiomyomas. Therefore a relation between the procedure and the malignancy seems to be very unlikely. Diagnostic delay in menstruated women younger than 50 undergoing UAE for presumed symptomatic leiomyoma ranges between 13 and 15 months. The safest procedure for women who fail the conservative management of leiomyoma with UAE is surgical, allowing for definitive pathologic exclusion of malignancy.
AB - Objective: We report a case of uterine leiomyosarcoma occurring after uterine artery embolization and review the previously published cases. We estimate the incidence of sarcoma after UAE, the mean diagnostic delay in young women undergoing this procedure and review the potential and limits of preoperative procedures in diagnosing uterine sarcomas. Case report: A 35-year-old woman had an early failure after UAE. She underwent surgery 13 months after the procedure. Final pathologic report was consistent with uterine leiomyosarcoma. Conclusion: Incidence of uterine sarcomas after UAE is low, probably similar to that of misdiagnosed leiomyosarcomas in women undergoing surgery for presumed symptomatic leiomyomas. Therefore a relation between the procedure and the malignancy seems to be very unlikely. Diagnostic delay in menstruated women younger than 50 undergoing UAE for presumed symptomatic leiomyoma ranges between 13 and 15 months. The safest procedure for women who fail the conservative management of leiomyoma with UAE is surgical, allowing for definitive pathologic exclusion of malignancy.
KW - Leiomyoma
KW - Uterine artery embolization
KW - Uterine sarcoma
UR - http://www.scopus.com/inward/record.url?scp=33845978431&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33845978431&partnerID=8YFLogxK
U2 - 10.1016/j.ygyno.2006.08.051
DO - 10.1016/j.ygyno.2006.08.051
M3 - Article
C2 - 17083970
AN - SCOPUS:33845978431
VL - 104
SP - 260
EP - 263
JO - Gynecologic Oncology
JF - Gynecologic Oncology
SN - 0090-8258
IS - 1
ER -