Multiple extrauterine adenomyomas and uterus-like masses: case reports and review of the literature

Silvestro Carinelli, F. Motta, Giada Frontino, Elisa Restelli, Luigi Fedele
In: Fertility and Sterility · 2009 · vol. 91(5) , pp. 1956.e9–1956.e11 · doi:10.1016/j.fertnstert.2009.01.076 · PMID:19254794 · W1987791111
review OA: bronze CC0 ⤵ 12 in-corpus citations
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This paper presents case reports and a literature review of multiple extrauterine adenomyomas and uterus-like masses.

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Abstract

ObjectiveTo describe two rare cases of multiple extrauterine adenomyomas, their clinical management, and their response to surgical and hormone therapy with GnRH agonist.DesignCase report and review of the English-language scientific literature.SettingCases presented in a tertiary health care academic institution.Patient(s)Two patients without urogenital malformations diagnosed with extrauterine adenomyoma, which is a benign tumor composed of smooth muscle and endometrium, typically originating within the uterus.Intervention(s)Surgical radical excision of adenomyomas followed by a long-term hormone therapy with GnRH agonist.Main outcome measure(s)Anatomical and clinical outcomes.Result(s)Surgical treatment followed by long-term GnRH agonist therapy appeared effective in keeping the disease stable. After a long-term follow-up of 10 and 4 years, the two patients are still asymptomatic and stable.Conclusion(s)Only 19 other cases of extrauterine adenomyomas are reported in the English-language scientific literature, and no cases of multiple masses are described until now. It is probable that these extrauterine adenomyomas arose from a metaplastic transformation of the subcelomic mesenchyme. Long-term GnRH agonist therapy after surgery appeared effective in keeping the disease stable.

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