Therapeutic Failure of Uterine Fibroid Embolization Caused by Underlying Leiomyosarcoma

Avoiding treatment of leiomyosarcomas: the role of magnetic resonance in focused ultrasound surgery

“…However, because it is a treatment in which histology is not obtained, the diagnostic delay was increased with uterine artery embolization, ranging from 6 to 14 months (4,5,7). With the benefit of hindsight, D'Angelo et al (6) noted increased vascularity on pre-treatment Doppler assessment, and Common et al (5) also noted irregular vascularity during angiography.…”

“…Missing a sarcoma is a concern with alternatives to hysterectomy for a presumed fibroid. Many currently popular techniques for which a tissue diagnosis is not obtained, including hormonal manipulation and uterine artery embolization, can and have delayed diagnosis of an underlying malignancy (2)(3)(4)(5)(6)(7). Several studies have demonstrated that magnetic resonance imaging (MRI) can be useful in differentiating leiomyomas from the much rarer sarcomas (8,9).…”

L’embolisation des artères utérines dans le traitement des myomes utérins : état des lieux

“…Common et al [59] décri-vent un cas de sarcome découvert en raison de l'absence de réduction de volume de la masse utérine après embolisation.…”

Aktueller Stand zur Embolisation der A. uterina in der Behandlung des symptomatischen Uterus myomatosus

“…Unumgäng-lich sind auch eingehende Kenntnisse in der Erkennung und Behandlung des postembolischen Syndroms, des symptomatischen Myomabgangs sowie von Spätkomplikationen nach Embolisation [15,16,19,28,29].…”