Therapeutic failure of uterine fibroid embolization caused by underlying leiomyosarcoma.
The authors describe an unusual case in which continued growth of uterine fibroids in a postmenopausal patient after polyvinyl alcohol embolization therapy prompted hysterectomy, which revealed an underlying leiomyosarcoma. The surgery was nearly fatal as a result of venous bleeding, and parasitization of blood from adjacent bowel by the tumor was noted. The difficulty of preoperative diagnosis of leiomyosarcoma and the need for diligent follow-up after uterine fibroid embolization are discussed.
Common
A A
AA
Department of Medical Imaging, St. Michael's Hospital, Toronto, ON, Canada. common@smh.toronto.on.ca
Mocarski
E J
EJ
Kolin
A
A
Pron
G
G
Soucie
J
J
D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000473:pathology / Q000628:therapy*; D007890:Leiomyosarcoma / Q000473:pathology*; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000473:pathology*; D017211:Treatment Failure; D014594:Uterine Neoplasms / Q000473:pathology / Q000628:therapy*