IMR Press / CEOG / Volume 44 / Issue 6 / DOI: 10.12891/ceog3886.2017

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report
A giant cystic adenomyoma mimicking the degeneration of uterine myoma
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1 Department of Obstetrics and Gynecology, the Second Hospital of Jilin University, Changchun, China
2 Department of Obstetrics and Gynecology, Hulunbeier People's Hospital, Inner Mongolia, China
3 Department of pathology, Hulunbeier People's Hospital, Inner Mongolia, China
Clin. Exp. Obstet. Gynecol. 2017, 44(6), 961–963; https://doi.org/10.12891/ceog3886.2017
Published: 10 December 2017
Abstract

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 6.0×3.9 cm cystic region within an 8.0×6.1cm 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.
Keywords
Cystic adenomyosis
Adenomyotic cyst
Cystic adenomyoma
Degeneration of myoma
Chocolate-like liquid
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