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Myoma Expulsion after Uterine Artery Embolization

INTRODUCTION: Uterine leiomyomas are the most common benign pelvic tumors in women over 35 years and can be symptomatic or asymptomatic. Among the main treatment strategies, there are hormone therapy, hysterectomy, myomectomy, and uterine artery embolization (UAE), a recent and promising treatment f...

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Autores principales: do Amaral, Vivian Fernanda, Yochiy, Fernanda Yumi, Furlanetto, Mário Luiz, Payão, Spencer Luiz Marques
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8445718/
https://www.ncbi.nlm.nih.gov/pubmed/34540304
http://dx.doi.org/10.1155/2021/6644229
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author do Amaral, Vivian Fernanda
Yochiy, Fernanda Yumi
Furlanetto, Mário Luiz
Payão, Spencer Luiz Marques
author_facet do Amaral, Vivian Fernanda
Yochiy, Fernanda Yumi
Furlanetto, Mário Luiz
Payão, Spencer Luiz Marques
author_sort do Amaral, Vivian Fernanda
collection PubMed
description INTRODUCTION: Uterine leiomyomas are the most common benign pelvic tumors in women over 35 years and can be symptomatic or asymptomatic. Among the main treatment strategies, there are hormone therapy, hysterectomy, myomectomy, and uterine artery embolization (UAE), a recent and promising treatment for patients who wish to avoid hysterectomy. Ideal candidates for UAE are women with symptomatic uterine leiomyomas that present no desire for pregnancy, premenopausal and heavy menstrual bleeding, or dysmenorrhea caused by intramural fibroids. Case Presentation. A 36-year-old female diagnosed with leiomyomas and an extensive history of failed previous treatments who, in order to preserve her uterus, underwent UAE and had tumor expulsion 15 days after the procedure. The patient remained eight months in amenorrhea and, currently, presents normal hormone levels and irregular periods. CONCLUSION: UAE presents itself as a minimally invasive procedure and as an efficient alternative for those patients who wish to preserve their uteri and also improve their symptoms and quality of life.
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spelling pubmed-84457182021-09-17 Myoma Expulsion after Uterine Artery Embolization do Amaral, Vivian Fernanda Yochiy, Fernanda Yumi Furlanetto, Mário Luiz Payão, Spencer Luiz Marques Case Rep Surg Case Report INTRODUCTION: Uterine leiomyomas are the most common benign pelvic tumors in women over 35 years and can be symptomatic or asymptomatic. Among the main treatment strategies, there are hormone therapy, hysterectomy, myomectomy, and uterine artery embolization (UAE), a recent and promising treatment for patients who wish to avoid hysterectomy. Ideal candidates for UAE are women with symptomatic uterine leiomyomas that present no desire for pregnancy, premenopausal and heavy menstrual bleeding, or dysmenorrhea caused by intramural fibroids. Case Presentation. A 36-year-old female diagnosed with leiomyomas and an extensive history of failed previous treatments who, in order to preserve her uterus, underwent UAE and had tumor expulsion 15 days after the procedure. The patient remained eight months in amenorrhea and, currently, presents normal hormone levels and irregular periods. CONCLUSION: UAE presents itself as a minimally invasive procedure and as an efficient alternative for those patients who wish to preserve their uteri and also improve their symptoms and quality of life. Hindawi 2021-09-08 /pmc/articles/PMC8445718/ /pubmed/34540304 http://dx.doi.org/10.1155/2021/6644229 Text en Copyright © 2021 Vivian Fernanda do Amaral et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
do Amaral, Vivian Fernanda
Yochiy, Fernanda Yumi
Furlanetto, Mário Luiz
Payão, Spencer Luiz Marques
Myoma Expulsion after Uterine Artery Embolization
title Myoma Expulsion after Uterine Artery Embolization
title_full Myoma Expulsion after Uterine Artery Embolization
title_fullStr Myoma Expulsion after Uterine Artery Embolization
title_full_unstemmed Myoma Expulsion after Uterine Artery Embolization
title_short Myoma Expulsion after Uterine Artery Embolization
title_sort myoma expulsion after uterine artery embolization
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8445718/
https://www.ncbi.nlm.nih.gov/pubmed/34540304
http://dx.doi.org/10.1155/2021/6644229
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