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Percutaneous Sonographically Guided Radiofrequency Ablation of Medium-Sized Fibroids: Feasibility Study

Chiara Recaldini1, Gianpaolo Carrafiello1, Domenico Laganà1, Salvatore Cuffari2, Valentino Bergamini3, Fabio Ghezzi4 and Carlo Fugazzola1

1 Department of Radiology, University of Insubria, Viale Borri 57, 21100 Varese, Italy.
2 Service of Anesthesiology, University of Insubria, Varese, Italy.
3 Department of Obstetrics and Gynecology, University of Verona, Verona, Italy.
4 Department of Obstetrics and Gynecology, University of Insubria, Varese, Italy.


Figure 1
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  		Fig. 1A —39-year-old woman with pelvic pain due to 5-cm intramural uterine myoma. Suprapubic sonogram shows location of tip of radiofrequency ablation needle with hooks deployed. Myoma is homogeneously hypoechoic.

 

Figure 2
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  		Fig. 1B —39-year-old woman with pelvic pain due to 5-cm intramural uterine myoma. Contrast-enhanced sonogram after radiofrequency ablation shows absence of vascularization in ablated area within uterine myoma.

 

Figure 3
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  		Fig. 2A —42-year-old woman with menorrhagia and pelvic pain due to 4.6-cm uterine myoma. Suprapubic sonogram shows hypoechogenic intramural myoma.

 

Figure 4
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  		Fig. 2B —42-year-old woman with menorrhagia and pelvic pain due to 4.6-cm uterine myoma. Contrast-enhanced sonogram after radiofrequency ablation shows anechogenic avascularized round area (treated myoma) surrounded by normal vascularized myometrium confirming success of ablation and absence of myometrial injury.

 

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