Juvenile cystic adenomyoma

Maryjo Branquinho, Branquinho MM, Maryjo Marques Branquinho, Marques AL, Andreia Leitão Marques, Leite HB, Helena Barros Leite, Isabel Santos Silva, Silva IS
BMJ case reports · 2012 · vol. 2012 , pp. bcr2012007006 · doi:10.1136/bcr-2012-007006 · PMID:23166169 · PMC4544307 · W2026682855
article OA: closed CC0 ⤵ 24 in-corpus citations
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This paper describes a 17-year-old female with severe dysmenorrhea and a cystic uterine lesion, detailing how MRI findings confirmed a diagnosis of juvenile cystic adenomyoma.

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Abstract

The purpose of this paper is to describe a case of juvenile cystic adenomyoma in a 17 year-old female patient with severe dysmenorrhoea unresponsive to non-steroidal anti-inflammatory drugs. The patient presents progressively worsening dysmenorrhoea that started 2 years after menarche and a cystic uterine lesion in MRI. The cyclic nature of symptoms, the similarity of the lesion and endometrium in MRI signal intensity and response to hormone suppression are consistent with juvenile cystic adenomyoma. The treatment depends on the age of the patient, severity of her symptoms and size and localisation of the cyst. This is a rare condition in young nulliparous women with a challenging differential diagnosis. This case highlights the relevance of MRI in the patient's study, featuring important characteristics of the lesion that disclosed the final diagnosis.

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Condition tags

dysmenorrhea

MeSH descriptors

Adenomyosis Rare Diseases Adenomyosis Adolescent Diagnosis, Differential Dysmenorrhea Dysmenorrhea Female Humans Image Interpretation, Computer-Assisted Magnetic Resonance Imaging Ultrasonography, Doppler Uterus Uterus

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (13)

Cited by (25)

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License: CC0 · commercial use OK