A case of cervical cystic adenomyoma treated by laparoscopic surgery

Minoru Nagashima, Takao Mikoshiba, Yuusei Noguchi, Tetsuya Ishikawa, Takashi Mimura
In: JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY · 2013 · vol. 29(2) , pp. 478–482 · doi:10.5180/jsgoe.29.478 · W2333105220
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-08 ⓘ

This paper describes a rare case of a 33-year-old woman with severe dysmenorrhea due to a cervical cystic adenomyoma, which was successfully treated with laparoscopic excision.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text ⓘ

The paper presents a rare case report of cervical cystic adenomyoma in a 33-year-old woman with progressive, severe dysmenorrhea who had previously undergone ovarian cystectomy twice for endometriosis and found medical therapy only marginally effective. Using transvaginal ultrasonography and MRI, the authors identified a 2 cm cervical cyst within the uterine muscular layer containing blood, and performed laparoscopic excision based on a preoperative diagnosis of cervical cystic adenomyoma. Histopathology confirmed endometrial glands and stroma within a myometrial nodule, and the patient’s symptoms improved dramatically after surgery. As a single case report, the study provides limited generalizability. This paper relates to adenomyosis and endometriosis through its main focus on cervical cystic adenomyoma and its detailed history of prior endometriosis surgery.

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Abstract

We report a rare case of cervical cystic adenomyoma. It is an extremely rare disesase. A 33-year-old female (gravia 0, para 0) presented with progressive dysmenorrhea. She underwent ovarian cystectomy twice for endmetriosis before. Dysmenorrhea was so severe that medical therapy is only marginally effective. Transvaginal ultrasonography and MRI showed a 2 cm cervical cyst that is located within the uterine muscular. It contained blood within the cystic leigion. Under a diagnosis of cervical cystic adenomyoma, laparoscopic excicion was performed. Pathological findings showed the endometrial glands and stroma within myometrial nodule. Symptom improved dramatically after laparoscopic surgery. Cervical cystic adenomyoma is so rare that we did not think that it was cystic adenomyoma initially. We thought history of surgery is involved in cyst formation. Strong clinical symptom appear in cervical cystic adenomyoma as same as that in uterine corpus.
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症例報告 腹腔鏡下に摘出した子宮頸部の嚢胞性腺筋症の1例 2013 年 29 巻 2 号 p. 478-482 詳細 抄録 We report a rare case of cervical cystic adenomyoma. It is an extremely rare disesase. A 33-year-old female (gravia 0, para 0) presented with progressive dysmenorrhea. She underwent ovarian cystectomy twice for endmetriosis before. Dysmenorrhea was so severe that medical therapy is only marginally effective. Transvaginal ultrasonography and MRI showed a 2 cm cervical cyst that is located within the uterine muscular. It contained blood within the cystic leigion. Under a diagnosis of cervical cystic adenomyoma, laparoscopic excicion was performed. Pathological findings showed the endometrial glands and stroma within myometrial nodule. Symptom improved dramatically after laparoscopic surgery. Cervical cystic adenomyoma is so rare that we did not think that it was cystic adenomyoma initially. We thought history of surgery is involved in cyst formation. Strong clinical symptom appear in cervical cystic adenomyoma as same as that in uterine corpus. © 2013 日本産科婦人科内視鏡学会

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dysmenorrhea

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