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Limited efficacy of uterine artery embolization for cervical leiomyomas

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dc.contributor.author정대철-
dc.contributor.author박성일-
dc.contributor.author원종윤-
dc.contributor.author이광훈-
dc.contributor.author이명수-
dc.contributor.author김만득-
dc.contributor.author이도연-
dc.contributor.author이무숙-
dc.date.accessioned2014-12-19T17:19:12Z-
dc.date.available2014-12-19T17:19:12Z-
dc.date.issued2012-
dc.identifier.issn1051-0443-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/91189-
dc.description.abstractPURPOSE: To explore the effectiveness of uterine artery embolization (UAE) in treating symptomatic fibroids in the uterine cervix. MATERIALS AND METHODS: Among 537 patients who underwent UAE, 10 who had fibroids located in the cervix were retrospectively analyzed. The mean diameter of the fibroids was 6.0 cm. Seven of the 10 patients presented a total of 10 fibroids in the uterine body or fundus simultaneously. Fibroids of the cervix and fibroids in the body or fundus were compared in terms of the effects of UAE on the treatment thereof and vascularity on angiographic findings. Cervical leiomyomas were classified into three grades based on the vascularity seen on aortography, from grade I, indicating poor vascularity, to grade III, indicating hypervascularity. Necrosis of fibroids was assessed by magnetic resonance imaging 3 months after UAE. RESULTS: Complete necrosis of leiomyomas in the uterine cervix was seen in only two of the 10 patients (20%), whereas all fibroids in the uterine body or fundus were completely infarcted (P < .05). Partial necrosis (PN) of the fibroid with a thin viable rim was seen in two patients, whereas PN with a thick rim was seen in four and no necrosis was seen in two. Grade I (ie, poor) vascularity was noted in five of nine patients (55.6%) with cervical fibroids larger than 3 cm. CONCLUSIONS: Poor vascularity was a frequent finding among cervical leiomyomas, and the outcomes of UAE for cervical leiomyomas were disappointing, indicating a need for caution in selecting and counseling patients for this treatment.-
dc.description.statementOfResponsibilityopen-
dc.format.extent236~240-
dc.relation.isPartOfJOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHLeiomyoma/diagnostic imaging-
dc.subject.MESHLeiomyoma/epidemiology*-
dc.subject.MESHLeiomyoma/therapy*-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPrevalence-
dc.subject.MESHRadiography-
dc.subject.MESHRepublic of Korea/epidemiology-
dc.subject.MESHRisk Assessment-
dc.subject.MESHRisk Factors-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHUterine Artery Embolization/statistics & numerical data*-
dc.subject.MESHUterine Cervical Neoplasms/diagnostic imaging-
dc.subject.MESHUterine Cervical Neoplasms/epidemiology*-
dc.subject.MESHUterine Cervical Neoplasms/therapy*-
dc.titleLimited efficacy of uterine artery embolization for cervical leiomyomas-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Radiology (영상의학)-
dc.contributor.googleauthorMan Deuk Kim-
dc.contributor.googleauthorMyungsu Lee-
dc.contributor.googleauthorDae Chul Jung-
dc.contributor.googleauthorSung Il Park-
dc.contributor.googleauthorMu Sook Lee-
dc.contributor.googleauthorJong Yun Won-
dc.contributor.googleauthorDo Yun Lee-
dc.contributor.googleauthorKwang Hun Lee-
dc.identifier.doi22177843-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA02443-
dc.contributor.localIdA03592-
dc.contributor.localIdA01510-
dc.contributor.localIdA02676-
dc.contributor.localIdA02751-
dc.contributor.localIdA00420-
dc.contributor.localIdA02718-
dc.contributor.localIdA02764-
dc.relation.journalcodeJ01922-
dc.identifier.eissn1535-7732-
dc.identifier.pmid22177843-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S1051044311014291-
dc.subject.keywordAdult-
dc.subject.keywordFemale-
dc.subject.keywordHumans-
dc.subject.keywordLeiomyoma/diagnostic imaging-
dc.subject.keywordLeiomyoma/epidemiology*-
dc.subject.keywordLeiomyoma/therapy*-
dc.subject.keywordMiddle Aged-
dc.subject.keywordPrevalence-
dc.subject.keywordRadiography-
dc.subject.keywordRepublic of Korea/epidemiology-
dc.subject.keywordRisk Assessment-
dc.subject.keywordRisk Factors-
dc.subject.keywordTreatment Outcome-
dc.subject.keywordUterine Artery Embolization/statistics & numerical data*-
dc.subject.keywordUterine Cervical Neoplasms/diagnostic imaging-
dc.subject.keywordUterine Cervical Neoplasms/epidemiology*-
dc.subject.keywordUterine Cervical Neoplasms/therapy*-
dc.contributor.alternativeNameJung, Dae Chul-
dc.contributor.alternativeNamePark, Sung Il-
dc.contributor.alternativeNameWon, Jong Yun-
dc.contributor.alternativeNameLee, Kwang Hun-
dc.contributor.alternativeNameLee, Myung Su-
dc.contributor.alternativeNameKim, Man Deuk-
dc.contributor.alternativeNameLee, Do Yun-
dc.contributor.alternativeNameLee, Mu Sook-
dc.contributor.affiliatedAuthorWon, Jong Yun-
dc.contributor.affiliatedAuthorJung, Dae Chul-
dc.contributor.affiliatedAuthorPark, Sung Il-
dc.contributor.affiliatedAuthorLee, Kwang Hun-
dc.contributor.affiliatedAuthorLee, Myung Su-
dc.contributor.affiliatedAuthorKim, Man Deuk-
dc.contributor.affiliatedAuthorLee, Do Yun-
dc.contributor.affiliatedAuthorLee, Mu Sook-
dc.citation.volume23-
dc.citation.number2-
dc.citation.startPage236-
dc.citation.endPage240-
dc.identifier.bibliographicCitationJOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, Vol.23(2) : 236-240, 2012-
dc.identifier.rimsid33975-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers

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