Cited 13 times in
Degeneration of Leiomyoma in Patients Referred for Uterine Fibroid Embolization: Incidence, Imaging Features and Clinical Characteristics
DC Field | Value | Language |
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dc.contributor.author | 이도연 | - |
dc.contributor.author | 이명수 | - |
dc.contributor.author | 이무숙 | - |
dc.contributor.author | 정대철 | - |
dc.contributor.author | 김만득 | - |
dc.contributor.author | 박성일 | - |
dc.contributor.author | 원종윤 | - |
dc.contributor.author | 이광훈 | - |
dc.date.accessioned | 2014-12-18T08:25:29Z | - |
dc.date.available | 2014-12-18T08:25:29Z | - |
dc.date.issued | 2013 | - |
dc.identifier.issn | 0513-5796 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/86280 | - |
dc.description.abstract | PURPOSE: 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.statementOfResponsibility | open | - |
dc.relation.isPartOf | YONSEI MEDICAL JOURNAL | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Abdominal Pain/therapy | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Follow-Up Studies | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Incidence | - |
dc.subject.MESH | Leiomyoma/complications* | - |
dc.subject.MESH | Leiomyoma/epidemiology | - |
dc.subject.MESH | Leiomyoma/pathology* | - |
dc.subject.MESH | Leiomyoma/surgery* | - |
dc.subject.MESH | Magnetic Resonance Imaging | - |
dc.subject.MESH | Menorrhagia/therapy | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Pregnancy | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Treatment Outcome | - |
dc.subject.MESH | Uterine Artery Embolization* | - |
dc.title | Degeneration of Leiomyoma in Patients Referred for Uterine Fibroid Embolization: Incidence, Imaging Features and Clinical Characteristics | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Radiology (영상의학) | - |
dc.contributor.googleauthor | Seung Chul Han | - |
dc.contributor.googleauthor | Man-Deuk Kim | - |
dc.contributor.googleauthor | Dae Chul Jung | - |
dc.contributor.googleauthor | Myungsu Lee | - |
dc.contributor.googleauthor | Mu Sook Lee | - |
dc.contributor.googleauthor | Sung Il Park | - |
dc.contributor.googleauthor | Jong Yun Won | - |
dc.contributor.googleauthor | Do Yun Lee | - |
dc.contributor.googleauthor | Kwang Hun Lee | - |
dc.identifier.doi | 10.3349/ymj.2013.54.1.215 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A02718 | - |
dc.contributor.localId | A02751 | - |
dc.contributor.localId | A02764 | - |
dc.contributor.localId | A03592 | - |
dc.contributor.localId | A00420 | - |
dc.contributor.localId | A01510 | - |
dc.contributor.localId | A02443 | - |
dc.contributor.localId | A02674 | - |
dc.relation.journalcode | J02813 | - |
dc.identifier.eissn | 1976-2437 | - |
dc.identifier.pmid | 23225822 | - |
dc.subject.keyword | Uterine artery embolization | - |
dc.subject.keyword | magnetic resonance imaging | - |
dc.subject.keyword | degeneration | - |
dc.subject.keyword | leiomyoma | - |
dc.subject.keyword | uterus | - |
dc.contributor.alternativeName | Lee, Do Yun | - |
dc.contributor.alternativeName | Lee, Myung Su | - |
dc.contributor.alternativeName | Lee, Mu Sook | - |
dc.contributor.alternativeName | Jung, Dae Chul | - |
dc.contributor.alternativeName | Kim, Man Deuk | - |
dc.contributor.alternativeName | Park, Sung Il | - |
dc.contributor.alternativeName | Won, Jong Yun | - |
dc.contributor.alternativeName | Lee, Kwang Hoon | - |
dc.contributor.affiliatedAuthor | Lee, Do Yun | - |
dc.contributor.affiliatedAuthor | Lee, Myung Su | - |
dc.contributor.affiliatedAuthor | Lee, Mu Sook | - |
dc.contributor.affiliatedAuthor | Jung, Dae Chul | - |
dc.contributor.affiliatedAuthor | Kim, Man Deuk | - |
dc.contributor.affiliatedAuthor | Park, Sung Il | - |
dc.contributor.affiliatedAuthor | Won, Jong Yun | - |
dc.contributor.affiliatedAuthor | Lee, Kwang Hoon | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 54 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 215 | - |
dc.citation.endPage | 219 | - |
dc.identifier.bibliographicCitation | YONSEI MEDICAL JOURNAL, Vol.54(1) : 215-219, 2013 | - |
dc.identifier.rimsid | 28887 | - |
dc.type.rims | ART | - |
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