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[Superselective arterial embolization for hemorrhage from malignant gestational trophoblastic tumor]
Xirun Wan1, Yang Xiang, Xiuyu Yang
1Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing 100730, China.
Objective:
To evaluate the efficacy of superselective arterial embolization to control hemorrhage from malignant gestational trophoblastic tumor.
Methods:
From February 1990 to June 2001, 31 patients (choriocarcinoma 24, invasive mole 7) with hemorrhage from malignant gestational trophoblastic tumor were treated with superselective arterial embolization. The hemorrhage organs included uterus (22 cases), vagina (3 cases), liver (3 cases), bladder (2 cases), and intestine (1 case).
Results:
In 28 cases (90.3%), superselective arterial embolization successfully controlled the hemorrhage. Hysterectomy was performed in the 3 failed and uterine perforation was revealed by laprotomy. Four patients had normal term delivery after successful superselective arterial embolization and chemotherapy.
Conclusion:
Superselective arterial embolization can effectively control the hemorrhage from malignant gestational trophoblastic tumor.