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Monitor uterine fibroid embolization patients to rule out leiomyosarcoma. (Two Cases Reported).

OB GYN News

| August 15, 2002 | Johnson, Kate | COPYRIGHT 2002 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

WINNIPEG, MAN. -- Patients who have had uterine fibroid embolization should be followed carefully to rule out the presence of a leiomyosarcoma, experts advised at the annual meeting of the Society of Obstetricians and Gynaecologists of Canada.

"Sarcomas are rare. They occur in less than 1% of premenopausal women. But ultrasound is not very good at differentiating between sarcomas and fibroids, so occasionally you will treat a woman with [uterine fibroid embolization] for what you think are fibroids but which then turn out to be a sarcoma," said Dr. Gaylene Pron, who is principal author of a Canadian multicenter series of 555 uterine fibroid embolization (UFE), also known as uterine artery embolization, procedures.

Dr. Pron described two cases of leiomyosarcomas in her series. Both women had unresolved pain and increasing uterine size after the procedure.

"UFE cuts off the blood supply to fibroids, so you would not expect to see increasing uterine size if a patient had fibroids treated this way," she explained in an interview.

Dr. Suzana Lago, who participated in a smaller Canadian study of ...

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