A giant cystic adenomyoma mimicking the degeneration of uterine myoma

作者：Fu, Lu-lu; Zheng, Li-ping; Bao, Hai-long; Meng, Ya-fei; Gu, Chun-hui; Zheng, Lian-wen^*

来源：Clinical and Experimental Obstetrics & Gynecology, 2017, 44(6): 961-963.

DOI：10.12891/ceog3886.2017

• Cystic adenomyosis
• Adenomyotic cyst
• Cystic adenomyoma
• Degeneration of myoma
• Chocolate-like liquid

Purpose: To report a rare giant isolated cystic adenomyoma mimicking the degeneration of uterine myoma. Materials and Methods: The authors present a 39-year-old woman referred to this hospital complaining of lower abdominal pain. Transvaginal ultrasonography (US) showed a 6.0x3.9 cm cystic region within an 8.0x6.1cm solid mass on the posterior of the uterine wall mimicking the degeneration of uterine myoma. Laparotomy was performed and the mass was excised completely. Results: Pathology of the specimen demonstrated the cystic cavity was lined by endometrial glands and stroma, hemosiderin deposition was also seen, confirming the diagnosis of cystic adenomyoma. The patient made a good recovery and she was relieved from symptoms and remained asymptomatic over her follow-up interval. Conclusion: Clinicians need to pay attention to its differential diagnosis of uterine cystic lesions preoperatively.

• 出版日期2017
• 单位吉林大学