Imaging of uterine leiomyomas

Uterine Fibroids Buy print or eBook [Opens in a new window] Embolization and other Treatments - Frontmatter - Contents - Contributors - Preface - Foreword - 1 Uterine fibroids: epidemiology and an overview - 2 Histopathology of uterine leiomyomas - 3 Imaging of uterine leiomyomas - 4 Abdominal myomectomy - 5 Laparoscopic managment of uterine myoma - 6 Hysteroscopic myomectomy - 7 Myomas in pregnancy - 8 Expectant and medical management of uterine fibroids - 9 Hysterectomy for uterine fibroid - 10 History of embolization of uterine myoma - 11 Uterine artery embolization – vascular anatomic considerations and procedure techniques - 12 Pain management during and after uterine artery embolization - 13 Patient selection, indications and contraindications - 14 Results of uterine artery embolization - 15 Side effects and complications of embolization - 16 Reproductive function after uterine artery embolization - 17 Reasons and prevention of embolization failure - 18 Future of embolization and other therapies from gynecologic perspectives - 19 The future of fibroid embolotherapy: a radiological perspective - Index - Plate section Published online by Cambridge University Press: 10 November 2010 Edited by Book contents - Frontmatter - Contents - Contributors - Preface - Foreword - 1 Uterine fibroids: epidemiology and an overview - 2 Histopathology of uterine leiomyomas - 3 Imaging of uterine leiomyomas - 4 Abdominal myomectomy - 5 Laparoscopic managment of uterine myoma - 6 Hysteroscopic myomectomy - 7 Myomas in pregnancy - 8 Expectant and medical management of uterine fibroids - 9 Hysterectomy for uterine fibroid - 10 History of embolization of uterine myoma - 11 Uterine artery embolization – vascular anatomic considerations and procedure techniques - 12 Pain management during and after uterine artery embolization - 13 Patient selection, indications and contraindications - 14 Results of uterine artery embolization - 15 Side effects and complications of embolization - 16 Reproductive function after uterine artery embolization - 17 Reasons and prevention of embolization failure - 18 Future of embolization and other therapies from gynecologic perspectives - 19 The future of fibroid embolotherapy: a radiological perspective - Index - Plate section Role of imaging The role of imaging is to confirm the diagnosis of uterine leiomyoma and to differentiate leiomyomas from other causes of uterine enlargement or pelvic masses such as ovarian or endometrial based masses, adenomyosis, serosal implants and lymphadenopathy. In addition, the number, size, and location of leiomyomas must be assessed. This is particularly important in the symptomatic, infertile, or pregnant patient. Possible complications including benign degeneration should be recognized. Signs suggestive of malignant transformation must be evaluated. Imaging is useful in preoperative mapping, particularly in the setting of uterus-sparing procedures and for therapy monitoring. General histology Uterine leiomyomas are well-circumscribed, benign smooth muscle neoplasms with various amounts of fibrous connective tissue. Leiomyomas may be single or, more frequently, multiple. Uterine leiomyomata are estrogen-sensitive neoplasms that occur in 20–30% of reproductive-aged women. Leiomyomas regress during anovulatory cycles as a result of unopposed estrogen stimulation. As leiomyomas enlarge, they may outgrow their blood supply, resulting in ischemia and degeneration characterized as hyaline, cystic, myxomatous, fatty, or hemorrhagic. Rapid increase in size of leiomyomas in a postmenopausal patient should raise the possibility of sarcomatous change. Classification by location Leiomyomas originate from the uterine corpus in the vast majority of cases; however, rarely (3–8%) they can arise from the cervical region. Uterine leiomyomas are categorized with respect to their location (subserosal, intramural, submucosal). - Type - Chapter - Information - Uterine FibroidsEmbolization and other Treatments, pp. 16 - 30Publisher: Cambridge University PressPrint publication year: 2003 Accessibility compliance for the PDF of this chapter is currently unknown and may be updated in the future. To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle. 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If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive. - Imaging of uterine leiomyomas - - Book: Uterine Fibroids - Online publication: 10 November 2010