Uterine Fibroid Therapy Using Interventional Radiology Mini-invasive Treatments: Current Perspective

Overview

Journal Med Oncol

Publisher Springer

Specialty Oncology

Date 2017 Feb 26

PMID 28236104

Citations 31

Authors

Carlo Masciocchi

Francesco Arrigoni

Fabiana Ferrari

Aldo Victor Giordano

Sonia Iafrate

Ilaria Capretti

Ester Cannizzaro

Alfonso Reginelli

Anna Maria Ierardi

Chiara Floridi

Alessio Salvatore Angileri

Luca Brunese

Antonio Barile

Affiliations

Soon will be listed here.

Abstract

Uterine fibroids are common benign tumors of unclear etiopathology that affect the female reproductive tract. They are responsible for considerable morbidity and deterioration of life quality, and may have a negative impact on the reproductive system as well. Besides surgery aided by uterus-saving techniques, several minimally invasive procedures are now available within the field of interventional radiology that represent a valid solution for women who desire pregnancy and relief from disease-specific symptomatology. The main advantages offered by these techniques are low grade of invasiveness and short times of hospitalization. The most diffuse techniques are uterine artery embolization (UAE) and magnetic resonance-guided high-intensity focused ultrasound (MRgFUS). UAE is an endovascular procedure whose goal is obtained by provoking ischemia of the uterine vessels. MRgFUS is a thermoablation procedure that selectively ablates the symptomatic fibroids. In this review study, both procedures will be described, including a description of technical details, indications, contraindications, complications, and outcomes.

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