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Uterine artery embolization (UAE) for diffuse leiomyomatosis of the uterus: clinical and imaging results.
DC Field | Value | Language |
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dc.contributor.author | 박성일 | - |
dc.contributor.author | 원종윤 | - |
dc.contributor.author | 이광훈 | - |
dc.contributor.author | 이도연 | - |
dc.contributor.author | 이명수 | - |
dc.contributor.author | 이무숙 | - |
dc.contributor.author | 정대철 | - |
dc.contributor.author | 김만득 | - |
dc.date.accessioned | 2014-12-19T16:48:23Z | - |
dc.date.available | 2014-12-19T16:48:23Z | - |
dc.date.issued | 2012 | - |
dc.identifier.issn | 0720-048X | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/90229 | - |
dc.description.abstract | PURPOSE: The aim of the current study was to evaluate the efficacy of uterine artery embolization (UAE) in the management of diffuse uterine leiomyomatosis with mid-term follow-up. MATERIALS AND METHODS: All patients who underwent UAE between 2008 and 2010 for symptomatic fibroids were analyzed. Among 360 cases, a total of 7 patients with diffuse uterine leiomyomatosis diagnosed based on MRI were included in this retrospective study. Patient ages ranged from 29 to 38 (mean 32.7) years. The median follow-up period was 16 (range; 6-31) months. The embolic agent was non-spherical polyvinyl alcohol particles. All patients underwent follow-up MRI at 3 months after UAE. Uterine volumes were calculated using MRI. Menorrhagia symptom changes were assessed at mid-term follow-up. RESULTS: There were no technical failures to catheterize the uterine artery and no adverse events requiring therapy after UAE. Contrast-enhanced MRI showed complete necrosis of the leiomyomatous nodules in 5 patients (71%) 3 months after embolization. Two patients (28%) showed mostly leiomyomatous nodules that were necrotized, some of which were still viable. All 7 patients with menorrhagia had improvement of symptoms at the mid-term follow-up. The initial mean uterine volume was 601.30 ± 533.92 cm(3) and was decreased to a mean of 278.81 ± 202.70 cm(3) at 3 months follow-up, for a mean uterus volume reduction rate of 50.1% (p<0.05). One patient became pregnant 5 months after UAE treatment. CONCLUSION: UAE was a highly effective treatment for diffuse uterine leiomyomatosis with mid-term durability and may be a valuable alternative to hysterectomy. | - |
dc.description.statementOfResponsibility | open | - |
dc.relation.isPartOf | EUROPEAN JOURNAL OF RADIOLOGY | - |
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 | Adult | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Leiomyomatosis/epidemiology | - |
dc.subject.MESH | Leiomyomatosis/pathology* | - |
dc.subject.MESH | Leiomyomatosis/therapy* | - |
dc.subject.MESH | Magnetic Resonance Imaging/statistics & numerical data* | - |
dc.subject.MESH | Prevalence | - |
dc.subject.MESH | Prognosis | - |
dc.subject.MESH | Republic of Korea/epidemiology | - |
dc.subject.MESH | Treatment Outcome | - |
dc.subject.MESH | Uterine Artery Embolization/statistics & numerical data* | - |
dc.subject.MESH | Uterine Neoplasms/epidemiology | - |
dc.subject.MESH | Uterine Neoplasms/pathology* | - |
dc.subject.MESH | Uterine Neoplasms/therapy* | - |
dc.title | Uterine artery embolization (UAE) for diffuse leiomyomatosis of the uterus: clinical and imaging results. | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Radiology (영상의학) | - |
dc.contributor.googleauthor | Jieun Koh | - |
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 | Jong Yun Won | - |
dc.contributor.googleauthor | Do Yun Lee | - |
dc.contributor.googleauthor | Sung Il Park | - |
dc.contributor.googleauthor | Kwang Hun Lee | - |
dc.identifier.doi | 22154588 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A02443 | - |
dc.contributor.localId | A01510 | - |
dc.contributor.localId | A02676 | - |
dc.contributor.localId | A02718 | - |
dc.contributor.localId | A02751 | - |
dc.contributor.localId | A02764 | - |
dc.contributor.localId | A03592 | - |
dc.contributor.localId | A00420 | - |
dc.relation.journalcode | J00845 | - |
dc.identifier.eissn | 1872-7727 | - |
dc.identifier.pmid | 22154588 | - |
dc.identifier.url | http://www.sciencedirect.com/science/article/pii/S0720048X11007868 | - |
dc.subject.keyword | Leiomyomatosis | - |
dc.subject.keyword | Uterine artery embolization | - |
dc.subject.keyword | MRI | - |
dc.contributor.alternativeName | Park, Sung Il | - |
dc.contributor.alternativeName | Won, Jong Yun | - |
dc.contributor.alternativeName | Lee, Kwang Hun | - |
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.affiliatedAuthor | Won, Jong Yun | - |
dc.contributor.affiliatedAuthor | Park, Sung Il | - |
dc.contributor.affiliatedAuthor | Lee, Kwang Hun | - |
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.citation.volume | 81 | - |
dc.citation.number | 10 | - |
dc.citation.startPage | 2726 | - |
dc.citation.endPage | 2729 | - |
dc.identifier.bibliographicCitation | EUROPEAN JOURNAL OF RADIOLOGY, Vol.81(10) : 2726-2729, 2012 | - |
dc.identifier.rimsid | 34082 | - |
dc.type.rims | ART | - |
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