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Three cases of complications after high-intensity focused ultrasound treatment in unmarried women.

Kim HK, Kim D, Lee MK, Lee CR, Kang SY, Chung YJ, Cho HH, Kim JH, Kim MR - Obstet Gynecol Sci (2015)

Bottom Line: High-intensity focused ultrasound (HIFU) has been regarded as a non-surgical, minimally invasive therapeutic option for patients who prioritize uterus-conservation.Although many studies have shown that HIFU therapy is a safe and effective treatment of uterine fibroid, not all fibroids are suitable for HIFU due to risks of serious complications.We experienced three cases of complications after the HIFU ablation for huge uterine fibroids, including two cases of rapid myoma enlargement and one case of heavy vaginal bleeding.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, Seoul, Korea.

ABSTRACT
High-intensity focused ultrasound (HIFU) has been regarded as a non-surgical, minimally invasive therapeutic option for patients who prioritize uterus-conservation. Although many studies have shown that HIFU therapy is a safe and effective treatment of uterine fibroid, not all fibroids are suitable for HIFU due to risks of serious complications. We experienced three cases of complications after the HIFU ablation for huge uterine fibroids, including two cases of rapid myoma enlargement and one case of heavy vaginal bleeding.

No MeSH data available.


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(A) Huge uterine fibroid with degenerative change in T2-weighted image after 12 times of high-intensity focused ultrasound. (B) Degenerated uterine myoma after myomectomy.
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Figure 1: (A) Huge uterine fibroid with degenerative change in T2-weighted image after 12 times of high-intensity focused ultrasound. (B) Degenerated uterine myoma after myomectomy.

Mentions: The initial magnetic resonance image (MRI) before HIFU ablation showed a 15-cm-sized well-defined hypointense mass in the posterior wall of the uterine body and fundus on T2-weighted imaging. However, the follow-up MRI after twelve HIFU ablation showed an 20-cm-sized heterogeneous myoma (Fig. 1A), extending to the renal hilum level superiorly, with a large area of nonenhancing portion in T2-weighted and post-gadolinium images, suggesting degenerative change (Fig. 1B).


Three cases of complications after high-intensity focused ultrasound treatment in unmarried women.

Kim HK, Kim D, Lee MK, Lee CR, Kang SY, Chung YJ, Cho HH, Kim JH, Kim MR - Obstet Gynecol Sci (2015)

(A) Huge uterine fibroid with degenerative change in T2-weighted image after 12 times of high-intensity focused ultrasound. (B) Degenerated uterine myoma after myomectomy.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4663238&req=5

Figure 1: (A) Huge uterine fibroid with degenerative change in T2-weighted image after 12 times of high-intensity focused ultrasound. (B) Degenerated uterine myoma after myomectomy.
Mentions: The initial magnetic resonance image (MRI) before HIFU ablation showed a 15-cm-sized well-defined hypointense mass in the posterior wall of the uterine body and fundus on T2-weighted imaging. However, the follow-up MRI after twelve HIFU ablation showed an 20-cm-sized heterogeneous myoma (Fig. 1A), extending to the renal hilum level superiorly, with a large area of nonenhancing portion in T2-weighted and post-gadolinium images, suggesting degenerative change (Fig. 1B).

Bottom Line: High-intensity focused ultrasound (HIFU) has been regarded as a non-surgical, minimally invasive therapeutic option for patients who prioritize uterus-conservation.Although many studies have shown that HIFU therapy is a safe and effective treatment of uterine fibroid, not all fibroids are suitable for HIFU due to risks of serious complications.We experienced three cases of complications after the HIFU ablation for huge uterine fibroids, including two cases of rapid myoma enlargement and one case of heavy vaginal bleeding.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, Seoul, Korea.

ABSTRACT
High-intensity focused ultrasound (HIFU) has been regarded as a non-surgical, minimally invasive therapeutic option for patients who prioritize uterus-conservation. Although many studies have shown that HIFU therapy is a safe and effective treatment of uterine fibroid, not all fibroids are suitable for HIFU due to risks of serious complications. We experienced three cases of complications after the HIFU ablation for huge uterine fibroids, including two cases of rapid myoma enlargement and one case of heavy vaginal bleeding.

No MeSH data available.


Related in: MedlinePlus