6533b834fe1ef96bd129ccb9

RESEARCH PRODUCT

Cystic adenomyosis spreading into subserosal-peduncolated myoma: How to explain it?

Anna MartoranaRoberto De GregorioGloria CalagnaRoberta GraneseAntonino PerinoOnofrio TrioloGaspare CucinellaGabriele Tonni

subject

Laparoscopic surgerymedicine.medical_specialtyPathologymedicine.medical_treatmentCase ReportEndometriumCystic adenomyosisStromamedicineAdenomyosisAdenomyomabusiness.industryMyometriumMyomamedicine.diseaseAdenomyosis Myoma Cystic adenomyosis LaparoscopySettore MED/40 - Ginecologia E OstetriciaMyomamedicine.anatomical_structureLaparoscopySurgeryHistopathologyAdenomyosis Cystic adenomyosis Laparoscopy Myoma SurgerybusinessAdenomyosis

description

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.

10.1016/j.ijscr.2015.01.005http://hdl.handle.net/11570/3105875