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La Radiologia Medica Feb 2021Interventional radiology plays an established role in the management of many conditions of the female reproductive tract. Since in benign gynecological and obstetric...
PURPOSE
Interventional radiology plays an established role in the management of many conditions of the female reproductive tract. Since in benign gynecological and obstetric pathologies, as myomas and postpartum hemorrhages, uterine arteries embolization has been already evaluated, this manuscript aims to report on a single-center experience concerning the endovascular management of metrorrhagia caused by gynecological malignancies.
MATERIALS AND METHODS
Single-center retrospective analysis of thirty patients affected by gynecologic cancer treated with endovascular embolization between January 2016 and December 2018 for acute or chronic metrorrhagia.
RESULTS
All patients were in advanced oncological stage (III or IV) with loco-regional spread of the tumor or invasion of pelvic structures, with a poor performance status. They were not suitable for surgery. On initial CT angiography, contrast media extravasation was confirmed in two patients (6.6%), while on DSA examination, tumor stain was displayed in 28 patients (93.4%). In two patients (6.6%) a pseudoaneurysm was reported.
CONCLUSIONS
Endovascular treatment of metrorrhagia in oncologic patients could be a valid therapeutic alternative, especially when in elderly patients with poor clinical conditions not suitable for surgery. A bilateral and superselective embolization using non-resorbable embolic agents should be performed, except for those cases in which there is infiltration of major vessels causing pseudoaneurysms or fistulas that require embolization.
Topics: Adult; Aged; Aged, 80 and over; Angiography, Digital Subtraction; Computed Tomography Angiography; Contrast Media; Female; Genital Neoplasms, Female; Humans; Metrorrhagia; Middle Aged; Radiography, Interventional; Retrospective Studies; Uterine Artery Embolization
PubMed: 32661778
DOI: 10.1007/s11547-020-01251-6 -
Journal of Investigational Allergology... 2010
Topics: Adult; Anaphylaxis; Female; Humans; Metrorrhagia; Middle Aged
PubMed: 21243944
DOI: No ID Found -
Harefuah Feb 1985
Topics: Adolescent; Child; Dilatation and Curettage; Female; Hormones; Humans; Infertility, Female; Metrorrhagia; Pregnancy
PubMed: 4007659
DOI: No ID Found -
La Semaine Des Hopitaux : Organe Fonde... Jan 1957
Topics: Female; Humans; Menorrhagia; Metrorrhagia
PubMed: 13421763
DOI: No ID Found -
Bulletin de La Federation Des Societes... 1953
Topics: Amphetamine; Amphetamines; Female; Humans; Menorrhagia; Metrorrhagia
PubMed: 13082262
DOI: No ID Found -
Contraception, Fertilite, Sexualite... Feb 1994
Comparative Study Review
Topics: Contraceptives, Oral; Female; Humans; Medication Errors; Metrorrhagia; Patient Compliance; Progesterone Congeners
PubMed: 8199648
DOI: No ID Found -
The Journal of Cardiovascular Surgery 1985Insufficiency of the cisterna chyli may result in chyloperitoneum, chyluria, chyloedema of the lower limbs and rarest of all--chylous metrorrhagia. One case of the...
Insufficiency of the cisterna chyli may result in chyloperitoneum, chyluria, chyloedema of the lower limbs and rarest of all--chylous metrorrhagia. One case of the latter complication is fully described and one other briefly mentioned. Both were treated by excision of all the dilated lymphatics around the vena cava and iliac veins with good results. Both cases showed lacunae in the flat bones which may be related to the lymphatic dysplasia.
Topics: Adolescent; Adult; Chyle; Female; Humans; Lymphatic System; Lymphography; Metrorrhagia
PubMed: 3980566
DOI: No ID Found -
International Journal of Gynaecology... Jan 2008
Topics: Female; Humans; Menorrhagia; Menstrual Cycle; Metrorrhagia; Reference Values
PubMed: 18005965
DOI: 10.1016/j.ijgo.2007.10.001 -
Polski Merkuriusz Lekarski : Organ... Nov 2005It is assumed that pathological metrorrhagia means blood loss amounting to above 80 ml in one menstrual cycle in women without diagnosed anatomical anomalies of uterus.... (Review)
Review
It is assumed that pathological metrorrhagia means blood loss amounting to above 80 ml in one menstrual cycle in women without diagnosed anatomical anomalies of uterus. Pathological metrorrhagia is the reason for hospitalization of many women. At present two methods are used in the treatment of this disorder: hormonotherapy and destruction of endometrium. Destruction of endometrium can be performed in case of irregular metrorrhagia in women with excluded malignant neoplasm (on the basis of intake of samples for histopathologic examination) and in women who do not wish to have children any more. There are various methods of endometrium destruction: thermal ablation, microwave ablation, laser ablation and cryoablation. All above mentioned methods are deemed so-called "minimally invasive methods".
Topics: Cryosurgery; Endometrial Hyperplasia; Female; Humans; Metrorrhagia; Minimally Invasive Surgical Procedures
PubMed: 16498819
DOI: No ID Found -
Journal de Medecine de Bordeaux Et Du... Mar 1957
Topics: Female; Humans; Menorrhagia; Metrorrhagia
PubMed: 13429268
DOI: No ID Found