Cystic adenomyosis spreading into subserosal-peduncolated myoma

Glória Calagna, Gloria Calagna, Gaspare Cucinella, Gabriele Tonni, Roberto De Gregorio, Onofrio Triolo, Anna Martorana, Annamaria Martorana, A Perino, Antonino Perino, Roberta Granese
International journal of surgery case reports · 2015 · vol. 8(C) , pp. 29–31 · doi:10.1016/j.ijscr.2015.01.005 · W2150709229
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Abstract

Abstract Introduction Cystic adenomyosis is a rare variant of adenomyosis characterized by well- circumscribed cavitated endometrial gland and stroma located within the myometrium. The cysts usually measure ≥ 1 cm in diameter, contain a “chocolate-colored” fluid and do not open into the overlaying endometrium. Case presentation We present a case of a peduncolated-subserosal cystic adenomyoma, namely cystic adenomyosis, correlated with pelvic MR imaging, laparoscopic surgery technique and histopathology findings. Conclusions In this case, the peculiar growth pattern of cystic adenomyosis in a myoma represents a singular condition rarely reported in the medical literature. We therefore support the pathogenetic theory that the disease might have been caused by direct proliferation of endometrial cells within a peduncolated- subserosal myoma.

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adenomyosis

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