51. Uterine adenomyoma with exophytic subserosal growth: case report of rare manifestation with image diagnosis and laparoscopic-assisted excision.
- Author
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Takeda A, Imoto S, Sugiyama C, and Nakamura H
- Subjects
- Adenomyoma diagnosis, Adenomyoma pathology, Adult, Female, Humans, Treatment Outcome, Uterine Neoplasms diagnosis, Uterine Neoplasms pathology, Adenomyoma surgery, Laparoscopy methods, Uterine Neoplasms surgery
- 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., (Copyright © 2013 AAGL. Published by Elsevier Inc. All rights reserved.)
- Published
- 2013
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