Diagnosis of Leiomyosarcoma after Uterine Artery Embolization for Multiple Leiomyomas. (3rd November 2020)

• Record Type: Journal Article
• Authors: Tsuji, Maako; Kihara, Tomoko; Hushimi, Shuko; Nishino, Yukari; Kanayama, Tomoko; Nishijima, Mitsuhiro
• Other Names: Rosa e Silva Julio Academic Editor.
• Is Part Of: Case reports in obstetrics and gynecology. Volume 2020(2020)
• Publication Date: 2020-11-03
• Subjects: Obstetrics -- Periodicals; Gynecology -- Periodicals; Generative organs, Female -- Diseases -- Periodicals; Obstetrics; Gynecology; Genital Diseases, Female; Generative organs, Female -- Diseases; Gynecology; Obstetrics; Electronic journals; Periodicals; Periodicals; 618
• DOI: 10.1155/2020/8823428
• Languages: English
• ISSNs: 2090-6684

Abstract

Abstract : Uterine sarcoma is significantly rarer than leiomyoma and has poor prognosis. Moreover, the diagnosis of leiomyosarcoma is difficult because its symptoms, including pelvic pain, uterine mass, and/or uterine bleeding, are very similar to those of leiomyoma. There are a few cases of leiomyosarcoma wherein leiomyoma was treated with uterine artery embolization (UAE); these reports revealed that the symptoms of hypermenorrhea or/and pelvic pain persisted even after UAE. Symptoms persisting even after UAE treatment for leiomyomas, especially multiple leiomyomas, should be investigated to rule out leiomyosarcoma. Therefore, long-term follow-up is needed. Here, we describe a case of a 39-year-old woman diagnosed with leiomyosarcoma 3 years after undergoing UAE for multiple leiomyomas.