Cystic adenomyosis spreading into subserosal-peduncolated myoma: How to explain it?. (2015)

• Record Type: Journal Article
• Authors: Calagna, Gloria; Cucinella, Gaspare; Tonni, Gabriele; Gregorio, Roberto De; Triolo, Onofrio; Martorana, Anna; Perino, Antonino; Granese, Roberta
• Is Part Of: International journal of surgery case reports. Volume 8(2015)
• Page Start: 29
• Page End: 31
• Publication Date: 2015
• Subjects: Adenomyosis -- Myoma -- Cystic adenomyosis -- Laparoscopy; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2015.01.005
• Languages: English
• ISSNs: 2210-2612

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.