Bapuraj J R, Ojili V, Singh S K, Prasad G R V, Khandelwal N, Suri S
Department of Radiodiagnosis, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Australas Radiol. 2006 Apr;50(2):179-82. doi: 10.1111/j.1440-1673.2006.01550.x.
Leiomyoma of the vagina is a very rare tumour of the lower urogenital tract. These slow-growing masses may be asymptomatic or present with pain, dyspareunia or urinary symptoms. Rarely, these tumours may present with life-threatening haemorrhage. These hypervascular tumours are treated by surgical excision. Preoperative embolization therefore may aid in devascularization of these tumours before surgical excision. We present the MRI features of a case of vaginal leiomyoma, which was managed by preoperative embolization and was then excised in toto. To the best of our knowledge, this is the first report where preoperative embolization was performed before excision of a vaginal leiomyoma with minimal peroperative blood loss.
阴道平滑肌瘤是下泌尿生殖道一种非常罕见的肿瘤。这些生长缓慢的肿物可能无症状，或表现为疼痛、性交困难或泌尿系统症状。这些肿瘤很少会出现危及生命的出血情况。这些富血管肿瘤通过手术切除进行治疗。因此，术前栓塞可能有助于在手术切除前使这些肿瘤去血管化。我们展示了一例阴道平滑肌瘤的MRI特征，该病例通过术前栓塞进行处理，随后完整切除。据我们所知，这是第一例在切除阴道平滑肌瘤前进行术前栓塞且术中失血极少的报告。
