Large size symptomatic uterine leiomyoma. Is saving the uterus feasible?

Т. Ф Татарчук, Н. В. Косей, Л. А. Васильченко, В. А. Джупін

Abstract


The paper presents the clinical case of large size uterine leiomyoma complicated by uterine bleeding and venous thrombosis of iliofemoral segment. Due to the use of minimally invasive methods successful staged organ saving treatment of leiomyoma with coexisting somatic pathology was performed after which the patient has a good perspective of fertility preservation.


Keywords


large size uterine leiomyoma; metrorrhagia; anemia; venous thrombosis of iliofemoral segment

References


Tatarchuk, T.F., Кosei, N.V. “Differential approach to conserving therapy of uterine leiomyoma in different age.” Medical Aspects of Women's Health, 4(2008): 24–28.

Tatarchuk, T.F., Кosei, N.V., Tutchenko, T.N. “Uterine fibroids and reproductive function of women: a critical assessment of therapeutic approaches.” Reproductive Endocrinology, 1(2011): 56–63.

Berkane, N., Moutafoff-Borie, C. “Impact of previous uterine artery embolization on fertility.” Curr Opin Obstet Gynecol, 22(2010): 242–247.

D onnez, J., Tatarchuk, T.F., Bouchard, P., Puscasiu, L., Zakharenko, N.F., Ivanova, T., Ugocsai, G., Mara, M., Jilla, M.P., Bestel, E., Terrill, P., Osterloh, I., Loumaye, E. “Ulipristal acetate versus placebo for fibroid treatment before surgery.” N Engl J Med, 366(5) (2012): 409–20.

Klatsky, P.C., Tran, N.D., Caughey, A.B., Fujimoto, V.Y. “Fibroids and reproductive outcomes: a systematic literature review from conception to delivery.” Am J Obstet Gynecol, 198(2008): 357–366.

M oss, J., Cooper, K., Khaund, A., Murray, L., Murray, G., Wu, O., et al. “Randomised comparison of uterine artery embolisation (UAE ) with surgical treatment in patients with symptomatic uterine fibroids (REST trial): 5-year results.” BJOG, 118(8) (2011): 936–944.

M ohan, P., Hamblin, M.H., Vogelzang, R.L. “Uterine Artery Embolization and Its Effect on Fertility.” Journal of Vascular and Interventional Radiology, 24(7) (2013): 925–930.

P ritts, E.A., Parker, W.H., Olive, D.L. “Fibroids and infertility: an updated systematic review of the evidence.” Fertil Steril, 91(2009): 1215–1223.


GOST Style Citations


1. Татарчук, Т. Ф. Дифференциальные подходы к органосохраняющей терапии лейомиомы матки в различные возрастные периоды / Т.Ф. Татарчук, Н.В. Косей // Медицинские аспекты здоровья женщины. — 2008. — № 4. — С. 24–28.

2. Татарчук, Т.Ф. Миома матки и репродуктивная функция женщины: критическая оценка терапевтических подходов / Т.Ф. Татарчук, Н.В. Косей, Т.Н. Тутченко // Репродуктивная эндокринология. — 2011. — № 1. — С. 56–63.

3. Berkane, N., Moutafoff-Borie, C. “Impact of previous uterine artery embolization on fertility.” Curr Opin Obstet Gynecol, 22(2010): 242–247.

4. D onnez, J., Tatarchuk, T.F., Bouchard, P., Puscasiu, L., Zakharenko, N.F., Ivanova, T., Ugocsai, G., Mara, M., Jilla, M.P., Bestel, E., Terrill, P., Osterloh, I., Loumaye, E. “Ulipristal acetate versus placebo for fibroid treatment before surgery.” N Engl J Med, 366(5) (2012): 409–20.

5. Klatsky, P.C., Tran, N.D., Caughey, A.B., Fujimoto, V.Y. “Fibroids and reproductive outcomes: a systematic literature review from conception to delivery.” Am J Obstet Gynecol, 198(2008): 357–366.

6. M oss, J., Cooper, K., Khaund, A., Murray, L., Murray, G., Wu, O., et al. “Randomised comparison of uterine artery embolisation (UAE ) with surgical treatment in patients with symptomatic uterine fibroids (REST trial): 5-year results.” BJOG, 118(8) (2011): 936–944.

7. M ohan, P., Hamblin, M.H., Vogelzang, R.L. “Uterine Artery Embolization and Its Effect on Fertility.” Journal of Vascular and Interventional Radiology, 24(7) (2013): 925–930.

8. P ritts, E.A., Parker, W.H., Olive, D.L. “Fibroids and infertility: an updated systematic review of the evidence.” Fertil Steril, 91(2009): 1215–1223.





DOI: http://dx.doi.org/10.18370/2309-4117.2015.23.64-68

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ISSN 2411-1295 (Online), ISSN 2309-4117 (Print)