Juvenile Cystic Adenomyoma Mimicking a Degenerating Leiomyoma

In: Journal of Gynecologic Surgery · 2021 · vol. 37(4) , pp. 352–354 · doi:10.1089/gyn.2020.0189 · W3127396981
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This case report describes a 14-year-old female with a uterine mass initially diagnosed as a degenerating fibroid, which was surgically excised and confirmed histopathologically as juvenile cystic adenomyoma.

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Abstract

Background: Juvenile cystic adenomyoma (JCA) is a rare form of adenomyosis that affects women ≤30 years old, typically manifesting as severe dysmenorrhea and recurrent pelvic pain. Case: A 14-year-old nulligravida without significant dysmenorrhea had a uterine mass identified as a degenerating fibroid on multiple imaging studies. The mass was excised, and histopathologic examination confirmed JCA. Results: At 3 her months postoperative follow up, this patient had no recurrence of pain. Conclusions: Although JCAs rare lesions that typically present with severe dysmenorrhea, they should be considered in adolescent females presenting with noncyclic pelvic pain and uterine masses. (J GYNECOL SURG 37:352)

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adenomyosisdysmenorrhea

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