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ECR 2019 / C-3224
Uterine fibroid in all its states: MRI findings.
Congress: ECR 2019
Poster No.: C-3224
Type: Educational Exhibit
Keywords: Interventional vascular, Pelvis, Genital / Reproductive system female, MR, Education, Embolisation, Neoplasia
Authors: H. Hriz1, E. Younsi2, E. Ezzedine1, Z. Zaimi1, S. Mghaieth3, N. Achour1, A. Ben Miled1, N. Mnif1; 1Tunis/TN, 2Montfleury/TN, 3Tunis, tunis/TN
DOI:10.26044/ecr2019/C-3224

Background

Uterine fibroids, also known as leiomyomas, are the most common uterine tumors in women of childbearing age, and occur in approximately 50% of patients over the age of 40.

 

Although benign, they can be associated with significant morbidity, and present a frequent indication for hysterectomy, especially in case of recurrent menorrhagia.

Most leiomyomas are asymptomatic, howerver they may cause  abnormal uterine bleeding, pelvic pain, infertility, or a palpable abdominopelvic mass.

 

Their management remains critical, since it is dealing with young patients of childbearing age, and currently Uterine  Artery  Embolization (UAE) takes over, in the treatment of uterine myomas.

 

Of the several imaging modalities currently available, magnetic resonance (MR) imaging holds a superior tissue contrast compared to ultrasonography or computed tomography (CT), in addition to being devoid of the use of ionizing radiation.

 

It presents the best tool for characterization and mapping, thus helping to guide therapeutic management. It also allows post-treatment control, particularly in case of interventional treatment.

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