{"paper_id":"0d0d8066-ff86-4823-a55b-a4b51f748535","body_text":"症例報告\n腹腔鏡下腫瘍切除術を施行した嚢胞性子宮腺筋症の一例\n2015 年 31 巻 1 号 p. 227-231\n詳細\n抄録\nUterine cystic adenomyosis is a relatively common disease in young women. Patients with cystic adenomyosis have severe dysmenorrhea and surgical treatment is required in most cases. A 29-year-old woman was admitted to our hospital with severe lower abdominal pain. Magnetic resonance imaging revealed features suggestive of an ovarian endometrial cyst. Hysterosalpingography revealed a normal uterine cavity and patent fallopian tubes. The patient was diagnosed with cystic adenomyosis. She was treated initially using hormone therapy with a gonadotropin releasing hormone (GnRH) agonist. This was effective; however, the symptoms recurred when the treatment was discontinued. Therefore, laparoscopic enucleation of the cystic lesion was performed, resulting in a statistically significant reduction in dysmenorrhea.\n© 2015 日本産科婦人科内視鏡学会","source_license":"CC0","license_restricted":false}