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Degeneration of Leiomyoma in Patients Referred for Uterine Fibroid Embolization: Incidence, Imaging Features and Clinical Characteristics

DC FieldValueLanguage
dc.contributor.author이도연-
dc.contributor.author이명수-
dc.contributor.author이무숙-
dc.contributor.author정대철-
dc.contributor.author김만득-
dc.contributor.author박성일-
dc.contributor.author원종윤-
dc.contributor.author이광훈-
dc.date.accessioned2014-12-18T08:25:29Z-
dc.date.available2014-12-18T08:25:29Z-
dc.date.issued2013-
dc.identifier.issn0513-5796-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/86280-
dc.description.abstractPURPOSE: Imaging features and clinical characteristics of degenerated leiomyoma in patients referred for uterine fibroid embolization (UFE) were analyzed to assess the incidence of degenerated leiomyoma. MATERIALS AND METHODS: Patients referred for UFE between 2008 and 2009 were retrospectively analyzed (n=276). Patients ranged in age from 27 to 51 years (mean 38.0 years). All patients underwent screening MRI with contrast enhancement. Medical histories and clinical symptoms were evaluated. RESULTS: Among the 276 patients who underwent MRI, 14 (5.1%) showed degenerated leiomyomas. Symptoms were abdominal pain (n=4, 26.7%), menorrhagia (n=5, 35.7%) and bulk-related symptoms (n=5, 35.7%) and no symptoms (n=5, 35.7%). Of the 14 patients with degenerated leiomyomas, 5 (42.9%) had a history of pregnancy in the past two years. For T1-weighted imaging (T1WI), a high signal intensity (SI) of the leiomyoma was the most common finding (n=9, 64.3%) and a hyperintense rim (n=4, 28.6%) was the second most common. On T2-weighted imaging (T2WI), a low SI of the leiomyoma was found in six patients (42.9%), a high SI in four (28.6%) and a heterogeneous SI in four (28.6%) patients. Conservative management was performed in 11 (78.6%) patients, surgery in 3 (21.4%) and uterine artery embolization in one (7.1%) patient. CONCLUSION: The incidence of degeneration of leiomyoma in patients referred for UFE was 5.1%. Patients presented with variable clinical symptoms with or without a history of pregnancy. MR imaging showed a high SI on T1WI and various SIs on T2WI without contrast enhancement. An understanding of the degeneration of leiomyomata is essential when considering UFE.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfYONSEI MEDICAL JOURNAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAbdominal Pain/therapy-
dc.subject.MESHAdult-
dc.subject.MESHFemale-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHHumans-
dc.subject.MESHIncidence-
dc.subject.MESHLeiomyoma/complications*-
dc.subject.MESHLeiomyoma/epidemiology-
dc.subject.MESHLeiomyoma/pathology*-
dc.subject.MESHLeiomyoma/surgery*-
dc.subject.MESHMagnetic Resonance Imaging-
dc.subject.MESHMenorrhagia/therapy-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPregnancy-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHUterine Artery Embolization*-
dc.titleDegeneration of Leiomyoma in Patients Referred for Uterine Fibroid Embolization: Incidence, Imaging Features and Clinical Characteristics-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Radiology (영상의학)-
dc.contributor.googleauthorSeung Chul Han-
dc.contributor.googleauthorMan-Deuk Kim-
dc.contributor.googleauthorDae Chul Jung-
dc.contributor.googleauthorMyungsu Lee-
dc.contributor.googleauthorMu Sook Lee-
dc.contributor.googleauthorSung Il Park-
dc.contributor.googleauthorJong Yun Won-
dc.contributor.googleauthorDo Yun Lee-
dc.contributor.googleauthorKwang Hun Lee-
dc.identifier.doi10.3349/ymj.2013.54.1.215-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA02718-
dc.contributor.localIdA02751-
dc.contributor.localIdA02764-
dc.contributor.localIdA03592-
dc.contributor.localIdA00420-
dc.contributor.localIdA01510-
dc.contributor.localIdA02443-
dc.contributor.localIdA02674-
dc.relation.journalcodeJ02813-
dc.identifier.eissn1976-2437-
dc.identifier.pmid23225822-
dc.subject.keywordUterine artery embolization-
dc.subject.keywordmagnetic resonance imaging-
dc.subject.keyworddegeneration-
dc.subject.keywordleiomyoma-
dc.subject.keyworduterus-
dc.contributor.alternativeNameLee, Do Yun-
dc.contributor.alternativeNameLee, Myung Su-
dc.contributor.alternativeNameLee, Mu Sook-
dc.contributor.alternativeNameJung, Dae Chul-
dc.contributor.alternativeNameKim, Man Deuk-
dc.contributor.alternativeNamePark, Sung Il-
dc.contributor.alternativeNameWon, Jong Yun-
dc.contributor.alternativeNameLee, Kwang Hoon-
dc.contributor.affiliatedAuthorLee, Do Yun-
dc.contributor.affiliatedAuthorLee, Myung Su-
dc.contributor.affiliatedAuthorLee, Mu Sook-
dc.contributor.affiliatedAuthorJung, Dae Chul-
dc.contributor.affiliatedAuthorKim, Man Deuk-
dc.contributor.affiliatedAuthorPark, Sung Il-
dc.contributor.affiliatedAuthorWon, Jong Yun-
dc.contributor.affiliatedAuthorLee, Kwang Hoon-
dc.rights.accessRightsfree-
dc.citation.volume54-
dc.citation.number1-
dc.citation.startPage215-
dc.citation.endPage219-
dc.identifier.bibliographicCitationYONSEI MEDICAL JOURNAL, Vol.54(1) : 215-219, 2013-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Dermatology (피부과학교실) > 1. Journal Papers

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