Skip to main content
SpringerLink
Log in

Microwave Ablation for Adenomyosis

  • Chapter
  • First Online:
Microwave Ablation Treatment of Solid Tumors

  • 1183 Accesses

Abstract

Several minimally invasive ways, including uterine artery embolization, high-intensity focused ultrasound, radiofrequency ablation, microwave ablation, and so on, have been used to reduce the patients’ symptoms of adenomyosis in the recent years. To evaluate the safety and efficacy of ultrasound-guided percutaneous microwave ablation in treating symptomatic adenomyosis, the technique’s indications, contraindications, instruments, the whole procedure of ultrasound-guided microwave ablation, and the efficacy after this therapy will be shown in this paper. At the end of the paper, other techniques about the treatment of symptomatic adenomyosis are also reviewed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Abbreviations

ce-MRI:

Contrast-enhanced magnetic resonance imaging

CEUS:

Contrast-enhanced ultrasound

HIFU:

High-intensity focused ultrasound ablation

MWA:

Microwave ablation

UAE:

Uterine artery embolization

References

  1. Benson RC, Sneeden VD. Adenomyosis: a reappraisal of symptomatology. Am J Obstet Gynecol. 1958;76(5):1044–57; discussion 1057–1061.

    CAS  PubMed  Google Scholar 

  2. Owolabi TO, Strickler RC. Adenomyosis: a neglected diagnosis. Obstet Gynecol. 1977;50(4):424–7.

    CAS  PubMed  Google Scholar 

  3. Bergholt T, Eriksen L, Berendt N, Jacobsen M, Hertz JB. Prevalence and risk factors of adenomyosis at hysterectomy. Hum Reprod. 2001;16(11):2418–21.

    CAS  PubMed  Google Scholar 

  4. Bird CC, McElin TW, Manalo-Estrella P. The elusive adenomyosis of the uterus–revisited. Am J Obstet Gynecol. 1972;112(5):583–93.

    CAS  PubMed  Google Scholar 

  5. Garcia L, Isaacson K. Adenomyosis: review of the literature. J Minim Invasive Gynecol. 2011;18(4):428–37.

    Article  PubMed  Google Scholar 

  6. Kim MD, Won JW, Lee DY, Ahn CS. Uterine artery embolization for adenomyosis without fibroids. Clin Radiol. 2004;59(6):520–6.

    Article  CAS  PubMed  Google Scholar 

  7. Sheng J, Zhang WY, Zhang JP, Lu D. The LNG-IUS study on adenomyosis: a 3-year follow-up study on the efficacy and side effects of the use of levonorgestrel intrauterine system for the treatment of dysmenorrhea associated with adenomyosis. Contraception. 2009;79(3):189–93.

    Article  CAS  PubMed  Google Scholar 

  8. Bragheto AM, Caserta N, Bahamondes L, Petta CA. Effectiveness of the levonorgestrel-releasing intrauterine system in the treatment of adenomyosis diagnosed and monitored by magnetic resonance imaging. Contraception. 2007;76(3):195–9.

    Article  CAS  PubMed  Google Scholar 

  9. Bhattacharya S, Middleton LJ, Tsourapas A, Lee AJ, Champaneria R, Daniels JP, Roberts T, Hilken NH, Barton P, Gray R, Khan KS, Chien P, O’Donovan P, Cooper KG, Abbott J, Barrington J, Bongers MY, Brun JL, Busfield R, Clark TJ, Cooper J, Corson SL, Dickersin K, Dwyer N, Gannon M, Hawe J, Hurskainen R, Meyer WR, O’Connor H, Pinion S, Sambrook AM, Tam WH, van Zon-Rabelink IA, Zupi E. Hysterectomy, endometrial ablation and Mirena(R) for heavy menstrual bleeding: a systematic review of clinical effectiveness and cost-effectiveness analysis. Health Technol Assess. 2011;15((19):1–252.

    Google Scholar 

  10. Furuhashi M, Miyabe Y, Katsumata Y, Oda H, Imai N. Comparison of complications of vaginal hysterectomy in patients with leiomyomas and in patients with adenomyosis. Arch Gynecol Obstet. 1998;262(1–2):69–73.

    Article  CAS  PubMed  Google Scholar 

  11. Garry R, Fountain J, Mason S, Hawe J, Napp V, Abbott J, Clayton R, Phillips G, Whittaker M, Lilford R, Bridgman S, Brown J. The eVALuate study: two parallel randomised trials, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomy. BMJ. 2004;328(7432):129.

    Article  PubMed Central  PubMed  Google Scholar 

  12. Zhang J, Han ZY, Feng L, Wang F, Hu DM, Wen B, Li ZC. Ultrasound-guided percutaneous microwave ablation in the treatment of diffuse adenomyosis. Zhonghua Yi Xue Za Zhi. 2011;91(39):2749–52.

    PubMed  Google Scholar 

  13. Yu Y, Jing Z, Zhi-Yu H, Ming-An Y, Xia M, Hong-Yu Z, Yan-Li H, Lan Z, Xue-Juan D, Hai-Long G. Ultrasound-guided percutaneous microwave ablation for submucosal uterine fibroids. J Minim Invasive Gynecol. 2014;21(3):436–41.

    Article  PubMed  Google Scholar 

  14. Zhang J, Feng L, Zhang B, Ren J, Li Z, Hu D, Jiang X. Ultrasound-guided percutaneous microwave ablation for symptomatic uterine fibroid treatment–a clinical study. Int J Hyperthermia. 2011;27(5):510–6.

    Article  PubMed  Google Scholar 

  15. Spies JB, Coyne K, Guaou Guaou N, Boyle D, Skyrnarz-Murphy K, Gonzalves SM. The UFS-QOL, a new disease-specific symptom and health-related quality of life questionnaire for leiomyomata. Obstet Gynecol. 2002;99(2):290–300.

    Article  PubMed  Google Scholar 

  16. Breivik H, Borchgrevink PC, Allen SM, Rosseland LA, Romundstad L, Hals EK, Kvarstein G, Stubhaug A. Assessment of pain. Br J Anaesth. 2008;101(1):17–24.

    Article  CAS  PubMed  Google Scholar 

  17. Atri M, Reinhold C, Mehio AR, Chapman WB, Bret PM. Adenomyosis: US features with histologic correlation in an in-vitro study. Radiology. 2000;215(3):783–90.

    Article  CAS  PubMed  Google Scholar 

  18. Wang F, Zhang J, Han ZY, Cheng ZG, Zhou HY, Feng L, Hu DM. Imaging manifestation of conventional and contrast-enhanced ultrasonography in percutaneous microwave ablation for the treatment of uterine fibroids. Eur J Radiol. 2012;81(11):2947–52.

    Article  PubMed  Google Scholar 

  19. Zhao WP, Chen JY, Zhang L, Li Q, Qin J, Peng S, Li KQ, Wang ZB, Chen WZ. Feasibility of ultrasound-guided high intensity focused ultrasound ablating uterine fibroids with hyperintense on T2-weighted MR imaging. Eur J Radiol. 2013;82(1):e43–9.

    Article  PubMed  Google Scholar 

  20. Fan TY, Zhang L, Chen W, Liu Y, He M, Huang X, Orsi F, Wang Z. Feasibility of MRI-guided high intensity focused ultrasound treatment for adenomyosis. Eur J Radiol. 2012;81(11):3624–30.

    Article  PubMed  Google Scholar 

  21. Kitamura Y, Allison SJ, Jha RC, Spies JB, Flick PA, Ascher SM. MRI of adenomyosis: changes with uterine artery embolization. AJR Am J Roentgenol. 2006;186(3):855–64.

    Article  PubMed  Google Scholar 

  22. Fukunishi H, Funaki K, Sawada K, Yamaguchi K, Maeda T, Kaji Y. Early results of magnetic resonance-guided focused ultrasound surgery of adenomyosis: analysis of 20 cases. J Minim Invasive Gynecol. 2008;15(5):571–9.

    Article  PubMed  Google Scholar 

  23. Wewers ME, Lowe NK. A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Health. 1990;13(4):227–36.

    Article  CAS  PubMed  Google Scholar 

  24. Chrisman HB, Saker MB, Ryu RK, Nemcek Jr AA, Gerbie MV, Milad MP, Smith SJ, Sewall LE, Omary RA, Vogelzang RL. The impact of uterine fibroid embolization on resumption of menses and ovarian function. J Vasc Interv Radiol. 2000;11(6):699–703.

    Article  CAS  PubMed  Google Scholar 

  25. Ahmadi F, Siahbazi S, Akhbari F, Eslami B, Vosough A. Hysterosalpingography finding in intra uterine adhesion (asherman’ s syndrome): a pictorial essay. Int J Fertil Steril. 2013;7(3):155–60.

    PubMed Central  PubMed  Google Scholar 

  26. Benagiano G, Brosens I, Carrara S. Adenomyosis: new knowledge is generating new treatment strategies. Womens Health (Lond Engl). 2009;5((3):297–311.

    Article  Google Scholar 

  27. McCausland V, McCausland A. The response of adenomyosis to endometrial ablation/resection. Hum Reprod Update. 1998;4(4):350–9.

    Article  CAS  PubMed  Google Scholar 

  28. Popovic M, Puchner S, Berzaczy D, Lammer J, Bucek RA. Uterine artery embolization for the treatment of adenomyosis: a review. JVIR. 2011;22(7):901–9.

    Article  PubMed  Google Scholar 

  29. Bratby MJ, Walker WJ. Uterine artery embolisation for symptomatic adenomyosis–mid-term results. Eur J Radiol. 2009;70(1):128–32.

    Article  CAS  PubMed  Google Scholar 

  30. Kim MD, Kim S, Kim NK, Lee MH, Ahn EH, Kim HJ, Cho JH, Cha SH. Long-term results of uterine artery embolization for symptomatic adenomyosis. AJR Am J Roentgenol. 2007;188(1):176–81.

    Article  PubMed  Google Scholar 

  31. Goldberg J. Uterine artery embolization for adenomyosis: looking at the glass half full. Radiology. 2005;236(3):1111–2.

    Article  PubMed  Google Scholar 

  32. Zhang X, Li K, Xie B, He M, He J, Zhang L. Effective ablation therapy of adenomyosis with ultrasound-guided high-intensity focused ultrasound. Int J Gynaecol Obstet. 2014;124(3):207–11.

    Article  PubMed  Google Scholar 

  33. Yin GP, Chen M, Zhu TY, Zhang SG, Yang SJ, Li J, Li J, Li YF. Radiofrequency heat coagulation minimal invasive treatment of adenomyoma and adenomyosis of uterus. Zhong Guo Fu Chan Ke Lin Chuang Za Zhi. 2003;4(6):410–2.

    Google Scholar 

  34. Chen CL, Liu P, Zeng BL, Ma B, Zhang H. [Intermediate and long term clinical effects of uterine arterial embolization in treatment of adenomyosis]. Zhonghua fu chan ke za zhi. 2006;41((10):660–3.

    PubMed  Google Scholar 

  35. Pelage JP, Jacob D, Fazel A, Namur J, Laurent A, Rymer R. Midterm results of uterine artery embolization for symptomatic adenomyosis: initial experience. Radiology. 2005;234(3):948–53.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Interventional Ultrasound, Chinese PLA General Hospital, 28 Fuxing Road, Beijing, 100853, China

    Yu Yang MS, Xia Ma MD, Jing Zhang MD & Hong-yu Zhou MS

Authors
  1. Yu Yang MS
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Xia Ma MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Jing Zhang MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Hong-yu Zhou MS
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jing Zhang MD .

Editor information

Editors and Affiliations

  1. The Dept. of Interventional Ultrasound, Chinese PLA General Hospital, Beijing, China

    Ping Liang

  2. The Dept. of Interventional Ultrasound, Chinese PLA General Hospital, Beijing, China

    Xiao-ling Yu

  3. The Dept. of Interventional Ultrasound, Chinese PLA General Hospital, Beijing, China

    Jie Yu

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Yang, Y., Ma, X., Zhang, J., Zhou, Hy. (2015). Microwave Ablation for Adenomyosis. In: Liang, P., Yu, Xl., Yu, J. (eds) Microwave Ablation Treatment of Solid Tumors. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-9315-5_23

Download citation

  • DOI: https://doi.org/10.1007/978-94-017-9315-5_23

  • Published:

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-017-9314-8

  • Online ISBN: 978-94-017-9315-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation