“True”

"The most common tumor found in the female reproductive system, uterine fibroids are seen in 20-25% of all women and are estimated to occur in 40% of menstruating women older than 50 years." Siskin et al, MedScape reference Updated: Oct 28, 2011 Link: MedScape Reference

Question 1 Answer

“False”

US and/or MRI to evaluate anatomy, characteristics of fibroid and to exclude other conditions such as endometriosis

Link: PANTRY UAE module Pre procedural synopsis

Question 2 Answer

“False”

Malignancy rare (0.3%), leiomyosarcoma.

Reference: Spies, B., Pelage, J., Uterine Artery Embolization And Gynecologic Embolotherapy, 2005, Lippincott, Williams and Wilkins, pg. 7

Question 3 Answer

“True”

"An endometrial biopsy should be performed in women 40 years of age and in those with risk factors for endometrial hyperplasia or malignancy. This biopsy should be performed at least 2-3 weeks prior to UFE to minimize risk of infection" Bradley. Uterine Fibroid embolization: a viable alternative to hysterectomy. Am J Obstet Gynecol 2009.

Journal article

Question 4 Answer

“True”

Myomectomy (Surgical removal of one or more fibroids sparing uterus), preferred option in young women seeking pregnancy

Reference:

ACOG web link

Question 5 Answer

“False”

The relative contraindications

related to fibroid morphology (or presence of

adenomyosis) need to be weighed against the anticipated benefit

The relative contraindications

related to fibroid morphology (or presence of

adenomyosis) need to be weighed against the anticipated benefit

"the relative contraindications related to fibroid morphology ( or presence of adenomyosis) needs to be weighed against the anticipated benefit of UFE and the relative risks of surgery." S O G C C L I N I C A L P R A C T I C E G U I D E L I N E S No. 150, October 2004

Links:

sogc.org

Question 6 Answer

True

"Between November 1998 and November 2000, 570 embolization procedures were performed in 555 patients. UAE was bilaterally successful in 97% (95% CI: 95%-98%)" Pron et al. Technical results and effects of operator experience on uterine artery embolization for fibroids: the Ontario Uterine Fibroid Embolization Trial. J Vasc Interv Radiol. 2003 May;14(5):545-54.

Link:

Journal article

Question 7 answer

“False”

"The most commonly used agent is polyvinyl alcohol"

S O G C C L I N I C A L P R A C T I C E G U I D E L I N E S No. 150, October 2004

Link:

sogc.org

Question 8 Answer

“True”

“ “Another important although infrequent adverse outcome of UFE is ovarian failure, with amenorrhea the result. In the FIBROID registry, this occurred in 7.5% of patients ( 5), with the overwhelming majority of cases occurring in women over 45 Years of age” Current Concepts in Uterine Fibroid Embolization Julie C. Bulman, Susan M. Ascher, James B. Spies, RadioGraphics, 2012, Vol.32: 1735-1750, 10.1148/rg.326125514

Link: RSNA Radiolgraphics

"Data from randomized trials and prospective case series suggest that degradation of ovarian function may occur after UAE, but is concentrated in women older than age 45 years, with little evidence of an impact in women younger than 40 years of age." J Vasc Interv Radiol. 2013 Apr;24(4):459-67. doi: 10.1016/j.jvir.2012.12.002. Epub 2013 Feb 4

Link: Journal article

Question 9 Answer

“True”

"Endometrial ablation - This Procedure destroys the lining of the uterus. It is used to treat women with small fibroids ( less than 3 centimeters)." FAQ Uterine fibroids, ACOG, Copyright May 2011

Link:

ACOG

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Question 10 Answer

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