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Research ArticleResearch Article

CT-Monitored Percutaneous Cryoablation of Uterine Fibroids after Uterine Artery Embolization

Zizhuo Zhao, Zhi Guo, Hong Ni, Fang Liu and Baoguo Li
Chinese Journal of Clinical Oncology August 2007, 4 (4) 241-245; DOI: https://doi.org/10.1007/s11805-007-0241-2
Zizhuo Zhao
Department of Interventional Radiology, Tianjin Medical University Cancer Institute & Hospital, Tianjin 300060, China.
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Zhi Guo
Department of Interventional Radiology, Tianjin Medical University Cancer Institute & Hospital, Tianjin 300060, China.
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  • For correspondence: guozhii_8{at}yahoo.com.cn
Hong Ni
Department of Interventional Radiology, Tianjin Medical University Cancer Institute & Hospital, Tianjin 300060, China.
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Fang Liu
Department of Interventional Radiology, Tianjin Medical University Cancer Institute & Hospital, Tianjin 300060, China.
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Baoguo Li
Department of Interventional Radiology, Tianjin Medical University Cancer Institute & Hospital, Tianjin 300060, China.
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    Fig.1.

    CT scans performed immediately after cryoablation. The markedly hypoattenuating appearance of the ice spheres with smooth, clearly demarcated borders represent the shrinkage of the fibroid. a: top slide of the myoma. b: slide of the myoma with the largest cryoablation diameter. c: the under slide of the myoma.

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    Fig.2.

    Results of cryoablation. a: Before the treatment, the largest myoma diameter was 9.2 cm. b: After cryoablation, the largest diameter of the myoma shrunk to 1.9 cm.

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    Table 1.

    Changes in symptoms after cryoablation.

    SymptomsPatient numberFree of symptomsImprovedNo change
    Abnormal bleeding2200
    Pelvic pain5410
    Urinary frequency7520
    Pelvic pressure6510
    • Some patients presented with more than one symptom.

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    Table 2.

    Reduction of myoma volumes on follow-up examination at 3, 6 and 12 months after cryomyolysis.

    VariableBaseline3612
    Volume (cm3, mean±SD)116.6±47.178.3±35.2*56.4±22.3*27.6±12.4*
    Volume reduction (%, mean±SD)-32.8±7.251.6±8.776.3±12.5
    • ↵* P<0.01 versus baseline values with Wilcoxon test.

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Cancer Biology and Medicine: 4 (4)
Chinese Journal of Clinical Oncology
Vol. 4, Issue 4
August 2007
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CT-Monitored Percutaneous Cryoablation of Uterine Fibroids after Uterine Artery Embolization
Zizhuo Zhao, Zhi Guo, Hong Ni, Fang Liu, Baoguo Li
Chinese Journal of Clinical Oncology Aug 2007, 4 (4) 241-245; DOI: 10.1007/s11805-007-0241-2

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CT-Monitored Percutaneous Cryoablation of Uterine Fibroids after Uterine Artery Embolization
Zizhuo Zhao, Zhi Guo, Hong Ni, Fang Liu, Baoguo Li
Chinese Journal of Clinical Oncology Aug 2007, 4 (4) 241-245; DOI: 10.1007/s11805-007-0241-2
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Keywords

  • cryotherapy
  • uterine fibroid
  • computed tomography (CT)
  • uterine artery embolization

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