{"paper_id":"3d93aec7-519f-4c48-9382-a002c776af37","body_text":"Abstract\nCase report\nThis report describes an unusual case of large cystic uterine adenomyoma in a 48-year-old woman. Under the clinical diagnosis of ovarian cancer, she underwent hysterectomy with bilateral salpingo-oophorectomy. Macroscopically, the large cystic mass containing bloody material was connected with the uterine isthmus and separate from both ovaries. Histological examination showed various epithelial metaplasia lining the cystic surface and revealed focal endometrial stroma in the cystic wall.\nConclusions\nHence, cystic adenomyoma showing exophytic polypoid growth is suggested, although its occurrence is extremely rare. The present case emphasizes that cystic adenomyoma showing extensive metaplastic changes and exophytic growth can occur.\nSimilar content being viewed by others\nReferences\nChung YP, Lin HH, Sheu BC, Mao TL, Chang DY, Huang SC (1997) Adenomyosis in the broad ligament and tamoxifen: report of a case. J Obstet Gynecol Res 23:69–73\nDobashi Y, Fiedler PN, Carcangiu ML (1992) Polypoid cystic adenomyosis of the uterus: report of a case. Int J Gynecol Pathol 11:240–243\nGershon CE, Omer AZ, Mariam S, Hartmut EB (1993) Giant adenomyotic cyst of the uterus. Br J Obstet Gynecol 100:596–598\nGilks CB, Clement PB, Hart WR, Young RH (2000) Uterine adenomyomas excluding atypical polypoid adenomyomas and adenomyomas of endocervical type: a clinicopathologic study of 30 cases of an underemphasized lesion that may cause diagnostic problems with brief consideration of adenomyomas of other female genital tract sites. Int J Gynecol Pathol 19:195–205\nHendrickson MR, Kempson RL (1980) Non-neoplastic conditions of the myometrium and uterine serosa. In: Bennington JL (ed) Surgical pathology of the uterine corpus. Saunders, Philadelphia, pp 452–467\nHofmann GE, Acosta AA, Gaddy NE (1989) Hysterosalpingographic diagnosis of uterine adenomyoma. Obstet Gynecol 73:885–887\nIribarne C, Plaza J, De la Fuente P, Garrido C, Garzon A, Olaizola JI (1994) Intramyometrial cystic adenomyosis. J Clin Ultrasound 22:348–350\nJung XY, Shin BK, Kim I (2002) Uterine adenomyoma with uterus-like features: a case report of two cases. Int J Surg Pathol 10:163–166\nKeating S, Quenville NF, Korn GW, Clement PB (1986) Ruptured adenomyotic cyst of the uterus—a case report. Arch Gynecol 237:169–173\nKurman RJ, Norris HJ (1987) Endometrial hyperplasia and metaplasia. In: Kurman RJ (ed) Blaunstein's pathology of the female genital tract, 3rd edn. Springer, New York Berlin Heidelberg, pp 322–337\nSlezak P, Tillinger KG (1976) The incidence and clinical importance of hysterographic evidence of cavities in the uterine wall. Radiology 118:581–586\nZaloudek C, Norris HJ (1987) Mesenchymal tumors of the uterus. In: Kurman RJ (ed) Blaunstein's pathology of the female genital tract, 3rd edn. Springer, New York Berlin Heidelberg, pp 373–408\nAuthor information\nAuthors and Affiliations\nCorresponding author\nRights and permissions\nAbout this article\nCite this article\nSakai, Y., Matsukuma, S. Large cystic uterine adenomyoma showing marked epithelial metaplasia and exophytic polypoid growth. Arch Gynecol Obstet 269, 74–76 (2003). https://doi.org/10.1007/s00404-003-0538-1\nReceived:\nAccepted:\nPublished:\nIssue date:\nDOI: https://doi.org/10.1007/s00404-003-0538-1","source_license":"CC0","license_restricted":false}