Adenomyotic cysts are uncommon findings, usually in the context of diffuse adenomyosis and <5 mm in diameter. Herein we report a 4.5-cm adenomyotic cyst in a 25-year-old nulliparous woman with severe dysmenorrhea and pelvic pain. Transvaginal ultrasonography and magnetic resonance imaging revealed a well-circumscribed hypoechogenic mass in the posterior uterine wall, well separated from the uterine cavity. Pathologic analysis demonstrated that the cyst was lined with endometrial epithelium and stroma and was surrounded by smooth muscle hyperplasia. In the literature, we found 30 reports of cysts with similar characteristics. Because this cyst has not been clearly defined, it has been called by various names including adenomyotic cyst, cystic adenomyosis, and cystic adenomyoma. We believe this lesion should not be called an adenomyoma, but is more correctly called an adenomyotic cyst or, depending on age at onset, a juvenile adenomyotic cyst.

Cucinella, G., Billone, V., Pitruzzella, I., Lo Monte, A.I., Palumbo, V.D., & Perino, A. (2013). Adenomyotic Cyst in a 25-Year-Old Woman: Case Report. JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, 20(6), 894-898 [10.1016/j.jmig.2013.04.022].

Adenomyotic Cyst in a 25-Year-Old Woman: Case Report

CUCINELLA, Gaspare;BILLONE, Valentina;PITRUZZELLA, Ilaria;LO MONTE, Attilio Ignazio;PALUMBO, Vincenzo Davide;PERINO, Antonino
2013

Abstract

Adenomyotic cysts are uncommon findings, usually in the context of diffuse adenomyosis and <5 mm in diameter. Herein we report a 4.5-cm adenomyotic cyst in a 25-year-old nulliparous woman with severe dysmenorrhea and pelvic pain. Transvaginal ultrasonography and magnetic resonance imaging revealed a well-circumscribed hypoechogenic mass in the posterior uterine wall, well separated from the uterine cavity. Pathologic analysis demonstrated that the cyst was lined with endometrial epithelium and stroma and was surrounded by smooth muscle hyperplasia. In the literature, we found 30 reports of cysts with similar characteristics. Because this cyst has not been clearly defined, it has been called by various names including adenomyotic cyst, cystic adenomyosis, and cystic adenomyoma. We believe this lesion should not be called an adenomyoma, but is more correctly called an adenomyotic cyst or, depending on age at onset, a juvenile adenomyotic cyst.
Settore MED/18 - Chirurgia Generale
Cucinella, G., Billone, V., Pitruzzella, I., Lo Monte, A.I., Palumbo, V.D., & Perino, A. (2013). Adenomyotic Cyst in a 25-Year-Old Woman: Case Report. JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, 20(6), 894-898 [10.1016/j.jmig.2013.04.022].
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10447/97411
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