[Superselective arterial embolization for hemorrhage from malignant gestational trophoblastic tumor].
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.
Wan
Xirun
X
Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing 100730, China.
Xiang
Yang
Y
Yang
Xiuyu
X
Xin
Feng
F
Yang
Ning
N
Liu
Wei
W
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
D000970:Antineoplastic Agents; C001943:5-fluorouridine; D014529:Uridine