Uterine adenomyoma with exophytic subserosal growth: case report of rare manifestation with image diagnosis and laparoscopic-assisted excision

Akihiro Takeda, Sanae Imoto, Chisato Sugiyama, Sugiyama C, Hiromi Nakamura, Nakamura H
Journal of Minimally Invasive Gynecology · 2013 · vol. 20(5) , pp. 717–722 · doi:10.1016/j.jmig.2013.04.011 · PMID:23796511 · W2114076305
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This case report details a rare manifestation of uterine adenomyoma with exophytic subserosal growth, presenting imaging findings and describing laparoscopic-assisted excision.

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Abstract

Uterine adenomyoma is a nodular aggregated form of adenomyosis composed of heterotopic endometrial or endometrium-like structures in the myometrium, with adjacent myometrial hyperplasia. Although adenomyoma is not extremely rare, reports of adenomyoma showing exophytic subserosal growth are limited. A 32-year-old nulligravida woman had sudden onset of lower abdominal pain. In addition to a left endometriotic cyst, a heterogeneous mass lesion showing mural and exophytic subserosal growth was noted in the posterior wall of the uterus. In a two-port laparoscopic-assisted procedure, the subserosal nodule was excised using ultrasonic coagulating shears, followed by excision of the mural lesion using a round loop electrode and a high-frequency electrosurgical unit. The histopathologic diagnosis was adenomyoma.

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MeSH descriptors

Adenomyoma Laparoscopy Uterine Neoplasms Adenomyoma Adenomyoma Adenomyoma Adenomyoma Adult Adult Female Female Humans Humans Laparoscopy Laparoscopy Treatment Outcome Treatment Outcome Uterine Neoplasms Uterine Neoplasms Uterine Neoplasms

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

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