Medical Policy Uterine Fibroid Treatments
ثبت نشده
چکیده
Overview: Uterine leiomyomas (fibroids or myomas) are benign tumors. Since histologic confirmation of the clinical diagnosis is not necessary in most cases, and there is both growth and regression of fibroids, asymptomatic uterine leiomyomas can usually be followed without intervention. Research supports not treating asymptomatic fibroids. Treatments for symptomatic fibroids include medical management, hysterectomy, myomectomy, uterine artery embolization (UAE), radiofrequency ablation (RFA), laser ablation, cryoablation, and image-guided thermal ablation using ultrasonography or magnetic resonance imaging (MRI).
منابع مشابه
Symptomatic Fibroid Management: Systematic Review of the Literature
BACKGROUND AND OBJECTIVES Symptomatic uterine fibroids are a societal and healthcare burden with no clear consensus among medical professionals as to which procedural treatment is most appropriate for each symptomatic patient. Our purpose was to determine whether recommendations can be made regarding best practice based on review and analysis of the literature since 2006. DATABASE A systemati...
متن کاملI-46: Radiofrequency Ablation of Uterine Fibroids
Uterine fibroids are benign solid tumors that are present in the majority of women. While often asymptomatic, fibroids can result in abnormal uterine bleeding, pelvic pressure, pain, subfertility, dyspareunia and other symptoms. Submucous and intramural fibroids are most associated with heavy menstrual bleeding; subserosal fibroids are more often innocuous unless sufficiently large so as to con...
متن کاملComparing focused ultrasound and uterine artery embolization for uterine fibroids-rationale and design of the Fibroid Interventions: reducing symptoms today and tomorrow (FIRSTT) trial.
OBJECTIVE To present the rationale, design, and methodology of the Fibroid Interventions: Reducing Symptoms Today and Tomorrow (FIRSTT) study. DESIGN Randomized clinical trial. SETTING Two academic medical centers. PATIENT(S) Premenopausal women with symptomatic uterine fibroids. INTERVENTION(S) Participants are randomized to two U.S. Food and Drug Administration-approved minimally inva...
متن کاملCurrent medical treatment of uterine fibroids
Uterine fibroids (leiomyomas or myomas), benign monoclonal tumors, are the most common benign tumors in women. Heavy or prolonged menstrual bleeding, abnormal uterine bleeding, resultant anemia, pelvic pain, infertility, and/or recurrent pregnancy loss are generally associated with uterine fibroids. Although curative treatment of this tumor relies on surgical therapies, medical treatments are c...
متن کاملQuantifying perfusion-related energy losses during magnetic resonance-guided focused ultrasound
Background/introduction The focused ultrasound power required for successful ablation of uterine fibroid tissue varies substantially between patients and within single treatments.[1,2] Fibroids with high signal intensity in pretreatment T2-weighted MR images have been shown to require increased power to achieve adequate temperature elevation for ablation;[2,4] thus, T2-weighted signal intensity...
متن کامل