[Therapeutic vascular embolization in life-threatening gynecologic hemorrhages].
Report on 12 women with acute massive or chronic tumor hemorrhage, treated with embolisation. There were 7 women with cervical cancer T3/T4, 3 women with adenocarcinoma (2mal primary progressive, one with metastases in lymph-nodes), one woman with progressive malignant mesenchymale tumor in vagina and one with local persistent ovarian cancer. In 10/12 cases hemorrhage stopped immediately after embolisation. In 3 cases, after one-sided embolization, repeated procedure of the contralateral vessel was necessary. In 2/12 cases side-effects like fever and subileus, and, in one case, complications like skin necrosis and bladder-vagina-fistula were seen. In all patients temporary improvement of life-quality were found. Low risk and good tolerance of this palliative therapy are emphasized.
A
A
Banaschak
F
F
Stösslein
O
O
Kielbach
K
K
Bilek
D
D
Elling
D000230:Adenocarcinoma / Q000532:radiotherapy / Q000628:therapy*; D001761:Bleomycin / Q000009:adverse effects; D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy / Q000628:therapy*; D002584:Cervix Uteri / Q000528:radiation effects; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D011832:Radiation Injuries / Q000628:therapy; D002583:Uterine Cervical Neoplasms / Q000532:radiotherapy / Q000628:therapy*; D014592:Uterine Hemorrhage / Q000628:therapy*; D014594:Uterine Neoplasms / Q000532:radiotherapy / Q000628:therapy*; D014599:Uterus / Q000528:radiation effects
D001761:Bleomycin
Therapeutische Gefässembolisation bei lebensbedrohlichen gynäkologischen Blutungen.