Adenomyotic cyst of the uterus in an adolescent

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This case report describes an adenomyotic cyst in an adolescent girl, imaged with US, CT, and MR, which is a rare form of adenomyosis not previously described in pediatric radiology.

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This paper is a case report describing an adenomyotic cyst in an adolescent girl, evaluated using ultrasound, CT, and MRI, with diagnosis confirmed by surgical pathology. The authors focused on outlining the radiologic features of cystic adenomyosis, noting that this presentation had not previously been reported in pediatric radiology literature. A major limitation is that the evidence is limited to a single patient case without broader comparative analysis. This paper is centrally about adenomyosis — it specifically reports a rare “cystic adenomyosis” (adenomyotic cyst) case in an adolescent and details its imaging confirmation by pathology, directly relating to adenomyosis.

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Abstract

Cystic adenomyosis is a rare form of adenomyosis of the uterine myometrium that has been described in older adults. This condition has not previously been reported in the pediatric radiology literature. In this case report, we describe an adenomyotic cyst in an adolescent girl that was imaged with US, CT, and MR and proved by surgical pathology. Understanding of the radiologic features of cystic adenomyosis is important for noninvasive diagnosis and effective medical/surgical management. Similar content being viewed by others

References

Koga K, Osuga Y, Hiroi H et al (2006) Images in reproductive medicine. A case of giant cystic adenomyosis. Fertil Steril 85:748–749 Imaoka I, Kaji Y, Kobashi Y et al (2005) Cystic adenomyosis with florid glandular differentiation mimicking ovarian malignancy. Br J Radiol 78:558–561 Tamai K, Togashi K, Ito T et al (2005) MR imaging findings of adenomyosis: correlation with histopathologic features and diagnostic pitfalls. Radiographics 25:21–40 Reinhold C, Tafazoli F, Wang L (1998) Imaging features of adenomyosis. Hum Reprod Update 4:337–349 Chopra S, Lev-Toaff AS, Ors F et al (2006) Adenomyosis: common and uncommon manifestations in sonography and magnetic resonance imaging. J Ultrasound Med 25:617–627 Kataoka ML, Togashi K, Konishi I et al (1998) MRI of adenomyotic cyst of the uterus. J Comput Assist Tomogr 22:555–559 Troiano RN, Flynn SD, McCarthy S (1998) Cystic adenomyosis of the uterus: MRI. J Magn Reson Imaging 8:1198–1202 Wood C (1998) Surgical and medical treatment of adenomyosis. Hum Reprod Update 4:323–336 Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Ho, ML., Raptis, C., Hulett, R. et al. Adenomyotic cyst of the uterus in an adolescent. Pediatr Radiol 38, 1239–1242 (2008). https://doi.org/10.1007/s00247-008-0948-0 Received: Revised: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s00247-008-0948-0

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MeSH descriptors

Adenomyoma Cysts Uterine Diseases Adenomyoma Adenomyoma Adenomyoma Adolescent Cysts Cysts Cysts Diagnosis, Differential Female Humans Magnetic Resonance Imaging Ultrasonography Uterine Diseases Uterine Diseases Uterine Diseases

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