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2026, Number 2

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Acta Med 2026; 24 (2)

Uterine artery embolization: a successful strategy for the management of uterine bleeding in advanced cervical cancer

Hernández JR, Ríos RJL, Alvarado EEA, Arias RM
Full text How to cite this article 10.35366/122622

DOI

DOI: 10.35366/122622
URL: https://dx.doi.org/10.35366/122622

Language: Spanish
References: 5
Page: 153-156
PDF size: 2364.69 Kb.


Key words:

interventional radiology, uterine artery embolization, cervical cancer, vaginal hemorrhage.

ABSTRACT

Cervical cancer (CC) remains one of the leading causes of morbidity and mortality worldwide. In advanced stages, transvaginal bleeding is a serious complication that affects both the quality of life and the prognosis. This case report presents a 39-year-old patient with stage IV A squamous cell carcinoma of the cervix, who experienced severe transvaginal bleeding, anemia, and hypovolemic shock. Uterine artery embolization (UAE) was successfully performed to control the bleeding. While the results were positive, further clinical research and controlled studies are needed to establish protocols and assess the applicability of UAE in advanced CC patients.


REFERENCES

  1. Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A et al. GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021; 71 (3): 209–249. doi: 10.3322/caac.21660.

  2. Bhatla N, Aoki D, Sharma DN, Sankaranarayanan R. Cancer of the cervix uteri: 2021 update. Int J Gynecol Obstet. 2021; 155 (Suppl 1): 28-44. doi: 10.1002/ijgo.13865

  3. Munteanu O, Secara D, Neamtu MN, Baros A, Dimitriade A, Dorobat B et al. Our experience in using the endovascular therapy in the management of hemorrhages in obstetrics and gynecology. Diagnostics (Basel). 2022; 12 (6): 1436. doi: 10.3390/diagnostics12061436.

  4. Dariushnia SR, Nikolic B, Stokes LS, Spies JB, Society of Interventional Radiology Standards of Practice Committee. Quality improvement guidelines for uterine artery embolization for symptomatic leiomyomata. J Vasc Interv Radiol. 2014; 25 (11): 1737-1747. doi: 10.1016/j.jvir.2014.08.029.

  5. Lipman J. Uterine artery embolization in the office-based lab. Tech Vasc Interv Radiol. 2024; 27(1). doi: 10.1016/j.tvir.2024.100954




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Acta Med. 2026;24