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Case Reports
. 2020 Nov 3:2020:8823428.
doi: 10.1155/2020/8823428. eCollection 2020.

Diagnosis of Leiomyosarcoma after Uterine Artery Embolization for Multiple Leiomyomas

Maako Tsuji  1 , Tomoko Kihara  1 , Shuko Hushimi  1 , Yukari Nishino  1 , Tomoko Kanayama  1 , Mitsuhiro Nishijima  1
Affiliations
Case Reports

Diagnosis of Leiomyosarcoma after Uterine Artery Embolization for Multiple Leiomyomas

Maako Tsuji et al. Case Rep Obstet Gynecol. .

Abstract

Uterine sarcoma is significantly rarer than leiomyoma and has poor prognosis. Moreover, the diagnosis of leiomyosarcoma is difficult because its symptoms, including pelvic pain, uterine mass, and/or uterine bleeding, are very similar to those of leiomyoma. There are a few cases of leiomyosarcoma wherein leiomyoma was treated with uterine artery embolization (UAE); these reports revealed that the symptoms of hypermenorrhea or/and pelvic pain persisted even after UAE. Symptoms persisting even after UAE treatment for leiomyomas, especially multiple leiomyomas, should be investigated to rule out leiomyosarcoma. Therefore, long-term follow-up is needed. Here, we describe a case of a 39-year-old woman diagnosed with leiomyosarcoma 3 years after undergoing UAE for multiple leiomyomas.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
Magnetic resonance imaging was performed before uterine artery embolization. MR images show clearly visible fibroids and not tumors.
Figure 2
Figure 2
Magnetic resonance imaging was performed 2 years after uterine artery embolization. The leiomyomas grew smaller.
Figure 3
Figure 3
Magnetic resonance imaging was performed 3.5 years after uterine artery embolization. The leiomyomas were stable, and a new uterine mass was noted.
See this image and copyright information in PMC

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