Female Pelvic Vascular Malformations

Annam, Aparna

doi:10.1055/s-0038-1636524

Cited by 10 publications

(8 citation statements)

References 59 publications

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“…It is generally believed that ascites is secreted by tumor cells planted on the surface of the tumor or transferred to the peritoneum, and the decomposition products of the peritoneum when it is stimulated. And the amount of ascites is reported to be positively correlated with the degree of tumor malignancy (12). In this study, more than half of the malignant tumors were accompanied by ascites, while only about 2% of the patients with benign tumors were accompanied by ascites, indicating that if there is ascites of the pelvic tumor detected through ultrasound, the possibility of the tumors being malignant should be considered.…”

Section: Discussionmentioning

confidence: 63%

Reliability of the application of transvaginal color Doppler ultrasound in the identification of pelvic tumors in women of childbearing age

Zhi

Wang

et al. 2020

Ann Transl Med

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Background: Recently, transvaginal color Doppler ultrasound (TVCDU) has been widely used in the diagnosis of pelvic tumors. This study aimed to assess the reliability of the application of TVCDU in the identification of pelvic tumors in women of childbearing age. Methods:The clinical data of 209 patients with pelvic tumors at childbearing age admitted to our hospital from January 2016 to December 2019 were retrospectively analyzed. The ultrasound signs, color Doppler ultrasound score (CDUS), and resistance index (RI) of benign and malignant pelvic tumors diagnosed by TVCDU were analyzed. The value of transabdominal color Doppler ultrasound (TACDU) and TVCDU in the diagnosis of benign and malignant pelvic tumors was calculated.Results: There were 150 cases with benign pelvic tumors and 59 cases with malignant tumors. Most benign tumors had an intact capsule and regular shape, were mainly cystic, and were rarely accompanied by ascites; meanwhile, malignant tumors were mostly non-capsular and irregular in shape, mainly solid or cystic, and were often accompanied by ascites. There were significant differences in the above-mentioned ultrasound signs between benign and malignant tumors (P<0.05). The CDUS score of benign pelvic tumors was significantly lower than that of malignant tumors, and the RI value was significantly higher than that of the malignant tumors (P<0.05). The sensitivity, specificity, and accuracy of TACDU in the diagnosis of benign pelvic and malignant tumors were 83.33%, 84.75%, and 83.73%, respectively; and the sensitivity, specificity, and the accuracy of TVCDU in the diagnosis of benign pelvic and malignant tumors were 95.33%, 88.14%, and 93.30%, respectively; thus TVCDU had a superior performance compared to TACDU, especially in sensitivity and accuracy (P<0.05). Conclusions:The sensitivity and accuracy of TVCDU in the differential diagnosis of benign pelvic and malignant tumors in women at childbearing age were significantly higher than those of TACDU. The combined application of CDUS and RI can further improve the accuracy in the diagnosis of pelvic tumors.

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Section: Discussionmentioning

confidence: 63%

Reliability of the application of transvaginal color Doppler ultrasound in the identification of pelvic tumors in women of childbearing age

Zhi

Wang

et al. 2020

Ann Transl Med

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“…However, if the location of the lesion is favorable, these symptoms may not be present [5]. In the past, this disease was often misdiagnosed due to limited understanding.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Iliac Arteriovenous Malformation Associated with Trisomy 21: A Case Report

Yang,

Zhao,

Liang

et al. 2024

Preprint

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Both arteriovenous malformation (AVM) and trisomy 21 are rare diseases. Studies have shown that individuals with trisomy 21 may have potential vascular malformations, with the main site of onset being the portal system. This case involved an adult patient with trisomy 21 who presented with pelvic iliac arteriovenous malformations. The patient underwent interventional treatment, and the prognosis was favorable. It is important to enhance the screening for vascular malformations in patients with trisomy 21 syndrome. At the same time, interventional treatment for AVMs is effective and increasingly important for managing AVMs.

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“…Arteriovenous malformations (AVMs) are mainly congenital like VMs and LMs and seldom acquired on a secondary basis, like uterine AVMs after caesarean section or trauma [12,13]. Blushed skin, local warmth, and bruit are typical clinical findings of AVMs but their clinical detection is often hampered in the urogenital and perineal region.…”

Section: Introductionmentioning

confidence: 99%

“…Diagnosis may be delayed because of the rather inconspicuous manifestation site or the patients' inability to disclose clinical and sexual symptoms to the treating physician. The spectrum of findings can vary from cosmetic concerns to deformities [15,18], including local swelling with physical impairment such as difficulty walking or exercising [12]. Furthermore, hematuria or rectal bleeding may increase local discomfort when the urinary tract or the rectum wall is involved [13].…”

Section: Introductionmentioning

confidence: 99%

Management of congenital urogenital and perineal vascular malformations: correlation of clinical findings with diagnostic imaging for treatment decision

Grill,

Struebing,

Weiss

et al. 2023

Rofo

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Purpose Analysis of clinical and diagnostic findings in rare urogenital and perineal vascular malformations only occurring in 2–3 % of vascular anomalies with regard to clinical symptoms and treatment decisions. Materials and Methods All 25 out of 537 patients presenting with congenital urogenital and perineal vascular malformations at our institution from 2014 to 2021 were included. Vascular anomaly classification, anatomical location, clinical symptoms at presentation, diagnostic imaging, and pain intensity were retrospectively assessed from the patient record and therapy management was evaluated. Results In total, 25 patients (10 females (40 %), 15 males (60 %)), aged 6 to 77 years were included. Diagnoses were: 10 (40 %) venous malformations (VMs), 5 (20 %) lymphatic malformations (LMs) and 10 (40 %) arteriovenous malformations (AVMs). Malformation manifestations were: 12 (32 %) lesser pelvis, 12 (32 %) external genitalia, and 13 (34 %) perineal/gluteal region. One AVM was located in the kidney. The leading clinical symptom was pain. The mean intensity was 6.0/10 for LM, 5.7/10 for VM, and 4.5/10 for AVM. Further major symptoms included physical impairment, local swelling, and skin discoloration. Bleeding complications or sexual dysfunction were rare findings. Patients with VM reported significantly more symptoms than patients with AVM (p = 0.0129). In 13 patients (52 %) minimally invasive therapy was indicated: 10 (77 %) sclerotherapies and 3 (23 %) transcatheter embolization procedures. Complete symptomatic remission was achieved in 9 (69 %) patients, partial response in 3 (23 %) patients, and 1 patient showed no clinical response to therapy. Follow-up appointments without the need for immediate minimally invasive therapy were significantly more common in patients with AVMs than in patients with VMs (p = 0.0198). Conclusion To create a higher awareness of congenital urogenital and perineal vascular malformations. Awareness of this rare condition avoids misdiagnosis. Therapy decisions should be symptom-oriented. Emergency intervention is rarely required, even in fast-flow vascular malformations. Key Points:

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Female Pelvic Vascular Malformations

Cited by 10 publications

References 59 publications

Reliability of the application of transvaginal color Doppler ultrasound in the identification of pelvic tumors in women of childbearing age

Reliability of the application of transvaginal color Doppler ultrasound in the identification of pelvic tumors in women of childbearing age

Treatment of Iliac Arteriovenous Malformation Associated with Trisomy 21: A Case Report

Management of congenital urogenital and perineal vascular malformations: correlation of clinical findings with diagnostic imaging for treatment decision

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