title: [Superselective arterial embolization for hemorrhage from malignant gestational trophoblastic tumor].
abstract: 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.
  
  
  CONCLUSIONS
  Superselective arterial embolization can effectively control the hemorrhage from malignant gestational trophoblastic tumor.
authors.affiliation: Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing 100730, China.
authors.forename: Xirun
authors.initials: X
authors.lastname: Wan
authors.forename: Yang
authors.initials: Y
authors.lastname: Xiang
authors.forename: Xiuyu
authors.initials: X
authors.lastname: Yang
authors.forename: Feng
authors.initials: F
authors.lastname: Xin
authors.forename: Ning
authors.initials: N
authors.lastname: Yang
authors.forename: Wei
authors.initials: W
authors.lastname: Liu
mesh_terms: D000970:Antineoplastic Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic; D005260:Female; D006470:Hemorrhage / Q000188:drug therapy / Q000209:etiology / Q000628:therapy*; D006801:Humans; D011247:Pregnancy; D016896:Treatment Outcome; D014328:Trophoblastic Neoplasms / Q000150:complications* / Q000188:drug therapy; D014529:Uridine / Q000031:analogs & derivatives* / Q000627:therapeutic use
chemical_list: D000970:Antineoplastic Agents; C001943:5-fluorouridine; D014529:Uridine