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Cystic adenomyosis spreading into subserosal-peduncolated myoma: How to explain it?

INTRODUCTION: Cystic adenomyosis is a rare variant of adenomyosis characterized by well- circumscribed cavitated endometrial gland and stroma located within the myometrium. The cysts usually measure ≥ 1 cm in diameter, contain a “chocolate-colored” fluid and do not open into the overlaying endometri...

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Autores principales: Calagna, Gloria, Cucinella, Gaspare, Tonni, Gabriele, Gregorio, Roberto De, Triolo, Onofrio, Martorana, Anna, Perino, Antonino, Granese, Roberta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4353969/
https://www.ncbi.nlm.nih.gov/pubmed/25617727
http://dx.doi.org/10.1016/j.ijscr.2015.01.005
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author Calagna, Gloria
Cucinella, Gaspare
Tonni, Gabriele
Gregorio, Roberto De
Triolo, Onofrio
Martorana, Anna
Perino, Antonino
Granese, Roberta
author_facet Calagna, Gloria
Cucinella, Gaspare
Tonni, Gabriele
Gregorio, Roberto De
Triolo, Onofrio
Martorana, Anna
Perino, Antonino
Granese, Roberta
author_sort Calagna, Gloria
collection PubMed
description INTRODUCTION: Cystic adenomyosis is a rare variant of adenomyosis characterized by well- circumscribed cavitated endometrial gland and stroma located within the myometrium. The cysts usually measure ≥ 1 cm in diameter, contain a “chocolate-colored” fluid and do not open into the overlaying endometrium. CASE PRESENTATION: We present a case of a peduncolated-subserosal cystic adenomyoma, namely cystic adenomyosis, correlated with pelvic MR imaging, laparoscopic surgery technique and histopathology findings. CONCLUSIONS: In this case, the peculiar growth pattern of cystic adenomyosis in a myoma represents a singular condition rarely reported in the medical literature. We therefore support the pathogenetic theory that the disease might have been caused by direct proliferation of endometrial cells within a peduncolated- subserosal myoma.
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spelling pubmed-43539692015-03-31 Cystic adenomyosis spreading into subserosal-peduncolated myoma: How to explain it? Calagna, Gloria Cucinella, Gaspare Tonni, Gabriele Gregorio, Roberto De Triolo, Onofrio Martorana, Anna Perino, Antonino Granese, Roberta Int J Surg Case Rep Case Report INTRODUCTION: Cystic adenomyosis is a rare variant of adenomyosis characterized by well- circumscribed cavitated endometrial gland and stroma located within the myometrium. The cysts usually measure ≥ 1 cm in diameter, contain a “chocolate-colored” fluid and do not open into the overlaying endometrium. CASE PRESENTATION: We present a case of a peduncolated-subserosal cystic adenomyoma, namely cystic adenomyosis, correlated with pelvic MR imaging, laparoscopic surgery technique and histopathology findings. CONCLUSIONS: In this case, the peculiar growth pattern of cystic adenomyosis in a myoma represents a singular condition rarely reported in the medical literature. We therefore support the pathogenetic theory that the disease might have been caused by direct proliferation of endometrial cells within a peduncolated- subserosal myoma. Elsevier 2015-01-08 /pmc/articles/PMC4353969/ /pubmed/25617727 http://dx.doi.org/10.1016/j.ijscr.2015.01.005 Text en © 2015 The Authors http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/).
spellingShingle Case Report
Calagna, Gloria
Cucinella, Gaspare
Tonni, Gabriele
Gregorio, Roberto De
Triolo, Onofrio
Martorana, Anna
Perino, Antonino
Granese, Roberta
Cystic adenomyosis spreading into subserosal-peduncolated myoma: How to explain it?
title Cystic adenomyosis spreading into subserosal-peduncolated myoma: How to explain it?
title_full Cystic adenomyosis spreading into subserosal-peduncolated myoma: How to explain it?
title_fullStr Cystic adenomyosis spreading into subserosal-peduncolated myoma: How to explain it?
title_full_unstemmed Cystic adenomyosis spreading into subserosal-peduncolated myoma: How to explain it?
title_short Cystic adenomyosis spreading into subserosal-peduncolated myoma: How to explain it?
title_sort cystic adenomyosis spreading into subserosal-peduncolated myoma: how to explain it?
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4353969/
https://www.ncbi.nlm.nih.gov/pubmed/25617727
http://dx.doi.org/10.1016/j.ijscr.2015.01.005
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