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Uterine artery embolization for pedunculated subserosal fibroids
Tetsuya Katsumori1, Kentarou Akazawa, Tadashi Mihara
1Department of Radiology, Saiseikai Shiga Hospital, Ohashi 2-4-1, Ritto, Shiga 520-3046, Japan.
AJR. American Journal of Roentgenology
|January 27, 2005
Summary
Uterine artery embolization is safe and effective for treating pedunculated subserosal fibroids. This minimally invasive procedure led to significant symptom improvement and fibroid volume reduction without serious complications.
Area of Science:
- Interventional Radiology
- Gynecologic Oncology
Background:
- Pedunculated subserosal fibroids can cause significant symptoms.
- Uterine artery embolization (UAE) is a treatment option for uterine fibroids.
Purpose of the Study:
- To evaluate the outcomes of UAE for pedunculated subserosal fibroids.
- To define pedunculated subserosal fibroids as those with a stalk diameter 50% narrower than the fibroid diameter.
Main Methods:
- Retrospective analysis of 196 women undergoing UAE for symptomatic fibroids.
- Identification of 12 women with pedunculated subserosal fibroids.
- Assessment of complications and outcomes via questionnaires and MRI.
Main Results:
- 15 pedunculated subserosal fibroids were treated in 12 women.
- Mean tumor diameter was 8.3 cm; mean stalk diameter was 3.1 cm.
- Complete devascularization in 73% of fibroids.
- Mean tumor volume reduction of 41% at 4 months and 53% at 1 year.
- Mean uterus volume reduction of 35% at 4 months and 47% at 1 year.
- 100% symptom improvement at all follow-up points.
Conclusions:
- UAE is a safe and effective treatment for pedunculated subserosal fibroids with stalk diameters ≥2 cm.
- No serious complications were observed.
- Successful outcomes, including symptom relief and volume reduction, were achieved.