Juvenile Cystic Adenomyoma in a 19-Year-Old Woman: A Case Report with a Proposal for New Diagnostic Criteria

Sang Sik Chun, Dae Gy Hong, Won Jun Seong, Min Hye Choi, Tak Hoo Lee
In: Journal of Laparoendoscopic & Advanced Surgical Techniques · 2011 · vol. 21(8) , pp. 771–774 · doi:10.1089/lap.2011.0014 · W1967521328
article OA: closed CC0 ⤵ 13 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report describes a laparoscopic excision of a cystic adenomyoma in a 19-year-old woman, which resolved her dysmenorrhea and pelvic pain.

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Abstract

We report a case of a cystic adenomyoma in a 19-year-old nullipara who presented with severe dysmenorrhea and pelvic pain. Preoperative magnetic resonance imaging showed a 3-cm well-circumscribed mass with a 2.1-cm cystic cavity in the myometrium of the left fundus. The tumor, including the cyst, was excised via laparoscopy with a part of the normal myometrium using a modified myomectomy method. On histologic examination, the cystic cavity was lined by endometrial tissue composed of endometrial epithelium and stroma. After 12 months of postoperative follow-up, the patient had significant improvement of dysmenorrhea.

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dysmenorrhea

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