Cystic adenomyoma surgery

Yohan Kerbage, Kerbage Y, Dericquebourg S, Sarah Dericquebourg, Pierre Collinet, Collinet P, Pauline Verpillat, P. Verpillat, Verpillat P, Giraudet G, Géraldine Giraudet, Rubod C, Chrystèle Rubod
Journal of gynecology obstetrics and human reproduction · 2022 · vol. 51(3) , pp. 102313 · doi:10.1016/j.jogoh.2022.102313 · PMID:35031510 · W4205244127
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This paper describes the surgical management of cystic adenomyoma, a rare variant of adenomyosis characterized by the presence of cystic spaces within the uterine wall.

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Abstract

OBJECTIVE: Cystic adenomyoma is a lesion located within the myometrium. It is lined with endometrium and has hemorrhagic content. This rare entity has been described as a focal form of adenomyosis. However, it is poorly understood, and the management of symptomatic patients is not codified. Our objective is to evaluate the effectiveness of treatment with planned surgery for cystic adenomyoma on symptoms and fertility in a retrospective series of patients. STUDY DESIGN: This is a retrospective study between January 2011 and January 2018 in a university hospital of patients that had surgery for cystic adenomyoma with uterine preservation. RESULTS: Pre-operative, per-operative, and post-operative data were recorded. Of the 18 patients included, 3 were lost to follow-up; 15 underwent laparoscopic surgery and 3 operative hysteroscopies. Complications during and after surgery were rare, involving only 3 patients, and of low severity. One patient saw no improvement in pain after surgery and 2 patients saw only partial improvement in their pain; 7 patients achieved at least one pregnancy with favorable outcome after surgery. CONCLUSION: Based on this series, we argue that conservative surgical treatment for cystic adenomyoma generally improves pain and fertility without causing morbidity.

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MeSH descriptors

Adenomyoma Adenomyoma Adenomyoma Adenomyosis Adenomyosis Adenomyosis Uterine Neoplasms Uterine Neoplasms Uterine Neoplasms Female Female Humans Humans Myometrium Myometrium Pregnancy Pregnancy Retrospective Studies Retrospective Studies

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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Cited by (8)

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License: CC0 · commercial use OK