Successful Magnetic Resonance Imaging-Guided Focused Ultrasound Surgery for Recurrent Uterine Fibroid Previously Treated with Uterine Artery Embolization

A 45-year-old premenopausal woman was referred to our clinic due to recurring symptoms of uterine fibroids, nine years after a uterine artery embolization (UAE). At the time of screening, the patient presented with bilateral impairment and narrowing of the uterine arteries, which increased the risk...

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Main Authors: Sang-Wook Yoon, Kyoung Ah Kim, Sang Heum Kim, Jong Tae Lee
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Obstetrics and Gynecology International
Online Access:http://dx.doi.org/10.1155/2010/351273
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author Sang-Wook Yoon
Kyoung Ah Kim
Sang Heum Kim
Jong Tae Lee
author_facet Sang-Wook Yoon
Kyoung Ah Kim
Sang Heum Kim
Jong Tae Lee
author_sort Sang-Wook Yoon
collection DOAJ
description A 45-year-old premenopausal woman was referred to our clinic due to recurring symptoms of uterine fibroids, nine years after a uterine artery embolization (UAE). At the time of screening, the patient presented with bilateral impairment and narrowing of the uterine arteries, which increased the risk of arterial perforation during repeated UAE procedures. The patient was subsequently referred for magnetic resonance imaging-guided focused ultrasound surgery (MRgFUS) treatment. Following the treatment, the patient experienced a significant improvement in symptoms (symptom severity score was reduced from 47 to 12 by 1 year post-treatment). MR images at 3 months showed a 49% decrease in fibroid volume. There were no adverse events during the treatment or the follow-up period. This case suggests that MRgFUS can be an effective treatment option for patients with recurrent fibroids following previous UAE treatment.
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publishDate 2010-01-01
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series Obstetrics and Gynecology International
spelling doaj-art-5680dbb5c11749978db4c8bfd7c40df42025-02-03T01:02:45ZengWileyObstetrics and Gynecology International1687-95891687-95972010-01-01201010.1155/2010/351273351273Successful Magnetic Resonance Imaging-Guided Focused Ultrasound Surgery for Recurrent Uterine Fibroid Previously Treated with Uterine Artery EmbolizationSang-Wook Yoon0Kyoung Ah Kim1Sang Heum Kim2Jong Tae Lee3Department of Diagnostic Radiology, CHA Bundang Medical Center, CHA University, 351 Yatap-dong, Bundang-gu, Sungnam-si, Gyunggi-do 463-712, Republic of KoreaDepartment of Diagnostic Radiology, CHA Bundang Medical Center, CHA University, 351 Yatap-dong, Bundang-gu, Sungnam-si, Gyunggi-do 463-712, Republic of KoreaDepartment of Diagnostic Radiology, CHA Bundang Medical Center, CHA University, 351 Yatap-dong, Bundang-gu, Sungnam-si, Gyunggi-do 463-712, Republic of KoreaDepartment of Diagnostic Radiology, CHA Bundang Medical Center, CHA University, 351 Yatap-dong, Bundang-gu, Sungnam-si, Gyunggi-do 463-712, Republic of KoreaA 45-year-old premenopausal woman was referred to our clinic due to recurring symptoms of uterine fibroids, nine years after a uterine artery embolization (UAE). At the time of screening, the patient presented with bilateral impairment and narrowing of the uterine arteries, which increased the risk of arterial perforation during repeated UAE procedures. The patient was subsequently referred for magnetic resonance imaging-guided focused ultrasound surgery (MRgFUS) treatment. Following the treatment, the patient experienced a significant improvement in symptoms (symptom severity score was reduced from 47 to 12 by 1 year post-treatment). MR images at 3 months showed a 49% decrease in fibroid volume. There were no adverse events during the treatment or the follow-up period. This case suggests that MRgFUS can be an effective treatment option for patients with recurrent fibroids following previous UAE treatment.http://dx.doi.org/10.1155/2010/351273
spellingShingle Sang-Wook Yoon
Kyoung Ah Kim
Sang Heum Kim
Jong Tae Lee
Successful Magnetic Resonance Imaging-Guided Focused Ultrasound Surgery for Recurrent Uterine Fibroid Previously Treated with Uterine Artery Embolization
Obstetrics and Gynecology International
title Successful Magnetic Resonance Imaging-Guided Focused Ultrasound Surgery for Recurrent Uterine Fibroid Previously Treated with Uterine Artery Embolization
title_full Successful Magnetic Resonance Imaging-Guided Focused Ultrasound Surgery for Recurrent Uterine Fibroid Previously Treated with Uterine Artery Embolization
title_fullStr Successful Magnetic Resonance Imaging-Guided Focused Ultrasound Surgery for Recurrent Uterine Fibroid Previously Treated with Uterine Artery Embolization
title_full_unstemmed Successful Magnetic Resonance Imaging-Guided Focused Ultrasound Surgery for Recurrent Uterine Fibroid Previously Treated with Uterine Artery Embolization
title_short Successful Magnetic Resonance Imaging-Guided Focused Ultrasound Surgery for Recurrent Uterine Fibroid Previously Treated with Uterine Artery Embolization
title_sort successful magnetic resonance imaging guided focused ultrasound surgery for recurrent uterine fibroid previously treated with uterine artery embolization
url http://dx.doi.org/10.1155/2010/351273
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AT kyoungahkim successfulmagneticresonanceimagingguidedfocusedultrasoundsurgeryforrecurrentuterinefibroidpreviouslytreatedwithuterinearteryembolization
AT sangheumkim successfulmagneticresonanceimagingguidedfocusedultrasoundsurgeryforrecurrentuterinefibroidpreviouslytreatedwithuterinearteryembolization
AT jongtaelee successfulmagneticresonanceimagingguidedfocusedultrasoundsurgeryforrecurrentuterinefibroidpreviouslytreatedwithuterinearteryembolization