Utilizing preoperative arterial embolization to minimize blood loss at time of vulvar sarcoma resection: A case report

Selective arterial embolization has long been utilized in the field of obstetrics and gynecology as both a prophylactic and therapeutic measure. We present a case of a highly vascularized, poorly differentiated, radiation-related vulvar sarcoma that was resected immediately following selective arter...

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Main Authors: Vera Schulte, Christianne Persenaire, Marisa R. Moroney, Saketh R. Guntupalli
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Gynecologic Oncology Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352578922001692
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author Vera Schulte
Christianne Persenaire
Marisa R. Moroney
Saketh R. Guntupalli
author_facet Vera Schulte
Christianne Persenaire
Marisa R. Moroney
Saketh R. Guntupalli
author_sort Vera Schulte
collection DOAJ
description Selective arterial embolization has long been utilized in the field of obstetrics and gynecology as both a prophylactic and therapeutic measure. We present a case of a highly vascularized, poorly differentiated, radiation-related vulvar sarcoma that was resected immediately following selective arterial embolization. Arterial embolization in patients with gynecologic malignancies has been shown to compromise blood supply to the tumor and decrease the risk of hemorrhage and related surgical complications. In this case, the use of embolization prior to surgery appeared to result in a less morbid procedure for the patient with decreased blood loss and improved quality of life thereafter. Based on the presented case, we believe that arterial embolization can be considered a safe preoperative intervention to decrease surgical risk, particularly hemorrhage, at time of resection of highly vascularized vulvar tumors.
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spelling doaj.art-5b1f88a262844d8aa3a56a58f2a1d3db2022-12-22T04:41:58ZengElsevierGynecologic Oncology Reports2352-57892022-12-0144101089Utilizing preoperative arterial embolization to minimize blood loss at time of vulvar sarcoma resection: A case reportVera Schulte0Christianne Persenaire1Marisa R. Moroney2Saketh R. Guntupalli3University of Colorado School of Medicine, Aurora, CO, United States; Corresponding author at: 12631 East 17th Ave, B198-6, Aurora, CO 80045, United States.University of Colorado School of Medicine, Aurora, CO, United StatesDepartment of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of Colorado School of Medicine, Aurora, CO, United StatesDepartment of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of Colorado School of Medicine, Aurora, CO, United StatesSelective arterial embolization has long been utilized in the field of obstetrics and gynecology as both a prophylactic and therapeutic measure. We present a case of a highly vascularized, poorly differentiated, radiation-related vulvar sarcoma that was resected immediately following selective arterial embolization. Arterial embolization in patients with gynecologic malignancies has been shown to compromise blood supply to the tumor and decrease the risk of hemorrhage and related surgical complications. In this case, the use of embolization prior to surgery appeared to result in a less morbid procedure for the patient with decreased blood loss and improved quality of life thereafter. Based on the presented case, we believe that arterial embolization can be considered a safe preoperative intervention to decrease surgical risk, particularly hemorrhage, at time of resection of highly vascularized vulvar tumors.http://www.sciencedirect.com/science/article/pii/S2352578922001692EmbolizationVulvar cancerSarcomaQuality of lifeSurgical morbidity
spellingShingle Vera Schulte
Christianne Persenaire
Marisa R. Moroney
Saketh R. Guntupalli
Utilizing preoperative arterial embolization to minimize blood loss at time of vulvar sarcoma resection: A case report
Gynecologic Oncology Reports
Embolization
Vulvar cancer
Sarcoma
Quality of life
Surgical morbidity
title Utilizing preoperative arterial embolization to minimize blood loss at time of vulvar sarcoma resection: A case report
title_full Utilizing preoperative arterial embolization to minimize blood loss at time of vulvar sarcoma resection: A case report
title_fullStr Utilizing preoperative arterial embolization to minimize blood loss at time of vulvar sarcoma resection: A case report
title_full_unstemmed Utilizing preoperative arterial embolization to minimize blood loss at time of vulvar sarcoma resection: A case report
title_short Utilizing preoperative arterial embolization to minimize blood loss at time of vulvar sarcoma resection: A case report
title_sort utilizing preoperative arterial embolization to minimize blood loss at time of vulvar sarcoma resection a case report
topic Embolization
Vulvar cancer
Sarcoma
Quality of life
Surgical morbidity
url http://www.sciencedirect.com/science/article/pii/S2352578922001692
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