Red Degeneration of Uterine Leiomyoma

Kawakami, Satoshi; Togashi, Kaori; Konishi, Ikuo; Kimura, I; Fukuoka, Masatsune; Mori, Takahide; Konishi, Junji

doi:10.1097/00004728-199411000-00014

Cited by 90 publications

(54 citation statements)

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“…In general the more cellular or hyalinised a fibroid, the lower the intensity of the signal; and the more cystic or ooedematous, the higher is the intensity of the signal on T2 weighted images due to the increased water content 15 -17 . Lesions which are high signal intensity on T1 weighted sequences contain either blood or fat and thus may be due to haemorrhagic necrosis or the rare lipoleiomyoma (0.8% of fibroids) 17,18 . Burn et al 13 in a series of 18 women found that high signal intensity in fibroids on T1 weighted sequences predicted a poor outcome.…”

Section: Discussionmentioning

confidence: 99%

Uterine artery embolisation for the treatment of symptomatic fibroids in 114 women: reduction in size of the fibroids and women's views of the success of the treatment

Watson

2002

BJOG: An International Journal of Obstetrics and Gynaecology

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Objective To assess the reduction in size of fibroids following uterine artery embolisation and to analyse women's views of the success of treatment. Design An uncontrolled case series of 114 consecutive women who underwent uterine artery embolisation for the treatment of fibroids over two years. Setting The Diagnostic and Interventional Radiology Department at The Royal Surrey County Hospital, Guildford, UK. Methods Bilateral uterine artery embolisation was performed for the treatment of symptomatic fibroids.Magnetic resonance imaging was carried out before and six months following embolisation. Women completed outcome questionnaires following their treatment. Main outcome measures The sites, imaging signal characteristics and percentage reduction in the volume of three dominant fibroids were determined from the magnetic resonance scans. Outcome was measured by questionnaire. Women were asked whether their symptoms resolved completely, improved, remained unchanged or deteriorated. Results One hundred and sixty-five fibroids of 114 women (mean age 42) were analysed. Forty-five percent of women had complex fibroid masses and 50% had fibroids ! 8.5cm in diameter. The median reduction in the fibroid volume was 58%. The median reduction of the volume of complex fibroid masses, submucous fibroids, fibroids ! 8.5cm and fibroids with high and low signal on T2 weighted sequences were 58%, 63%, 50%, 62% and 51%, respectively. Ninety-one percent of the women's symptoms had resolved or improved following embolisation. Discussion The majority of women were satisfied with their outcome. We have shown that uterine artery embolisation is a successful treatment for symptomatic fibroids of all types, sizes and signal characteristics.

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Section: Discussionmentioning

confidence: 99%

Uterine artery embolisation for the treatment of symptomatic fibroids in 114 women: reduction in size of the fibroids and women's views of the success of the treatment

Watson

2002

BJOG: An International Journal of Obstetrics and Gynaecology

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“…Miksoid dejenerasyon gösteren myomlar oldukça yüksek T2A sinyali gösterirler ve hafif dereceli kontrastlanırlar [1]. [1,17]. Kan ve kan ürünlerinin T1 zamanını kısaltmasına bağlı kırmızı dejenerasyon gösteren myomlar hiperintens olabilirler (Resim 10).…”

Section: Mr Görüntülemeunclassified

Uterin Myomlarda Radyolojik Görüntüleme

Değirmenci¹,

Kara²

2015

Trd Sem

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“…Various secondary changes that may be seen in leiomyomas like: hyaline or myxoid degeneration (most common-60%), cystic degeneration, dystrophic calcification, red degeneration, malignant change (<1.0%). 4 Histopathological variants of leiomyomas like atypical, cellular, mitotically active, myxoid, and epithelioid leiomyoma have been described. Although rare, leiomyoma may contain heterologous elements such as fat, skeletal muscle, chondroid and osseous tissues.…”

Section: Introductionmentioning

confidence: 99%