1/2. uterine artery embolization in an undiagnosed uterine sarcoma.BACKGROUND: Uterine sarcomas are rare malignancies that resemble benign uterine leiomyomata. uterine artery embolization is offered increasingly for treatment of uterine leiomyomata, which might lead to embolization of undiagnosed uterine sarcoma. CASE: A 52-year-old woman, gravida 7, para 6, with perimenopausal menometrorrhagia was diagnosed with uterine leiomyomata after physical examination and transvaginal ultrasound. An endometrial biopsy was negative for malignancy. After medical treatment was unsuccessful, she had uterine artery embolization. She then passed a piece of tissue from her vagina, the pathology report of which was necrotic high-grade sarcoma. During surgery we confirmed that the tumor was confined to the uterus. CONCLUSION: Uterine sarcoma cannot be diagnosed except by pathologic examination of a resected specimen. women considering uterine artery embolization for treatment of apparent leiomyomata should be counseled on the risk of decreased survival by delaying diagnosis and treatment of uterine sarcoma.- - - - - - - - - - ranking = 1keywords = physical examination, physical (Clic here for more details about this article) |
2/2. Intracardiac leiomyomatosis: iliac vein to right-ventricular outflow tract.BACKGROUND: A 58-year-old female with a history of hypertension and asthma presented to an internist for a routine physical examination. A grade II/VI systolic ejection murmur and electrocardiogram abnormalities were noted. She was referred to a cardiologist for further assessment. INVESTIGATIONS: Transthoracic echocardiography, transesophageal echocardiography, contrast-enhanced CT and MRI, exploratory laparotomy. diagnosis: Intracardiac leiomyomatosis. MANAGEMENT: Surgical excision.- - - - - - - - - - ranking = 1keywords = physical examination, physical (Clic here for more details about this article) |