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Imaging Manifestations of Accessory Cavitated Uterine Mass—A Rare Mullerian Anomaly
Context Accessory cavitated uterine mass (ACUM) is an uncommon and under-recognized entity with distinct imaging characteristics and causing significant patient distress. Differentiating it from its other clinical and radiological differentials is therefore extremely important and prevents delay in...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Thieme Medical and Scientific Publishers Pvt. Ltd.
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8590559/ https://www.ncbi.nlm.nih.gov/pubmed/34790296 http://dx.doi.org/10.1055/s-0041-1735504 |
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author | Putta, Tharani John, Reetu Simon, Betty Sathyakumar, Kirthi Chandramohan, Anuradha Eapen, Anu |
author_facet | Putta, Tharani John, Reetu Simon, Betty Sathyakumar, Kirthi Chandramohan, Anuradha Eapen, Anu |
author_sort | Putta, Tharani |
collection | PubMed |
description | Context Accessory cavitated uterine mass (ACUM) is an uncommon and under-recognized entity with distinct imaging characteristics and causing significant patient distress. Differentiating it from its other clinical and radiological differentials is therefore extremely important and prevents delay in surgical management which is the treatment of choice. Aims The aim of the study is to describe the MRI appearance of the surgically and pathologically proven ACUM cases from our institution in the last 2 years. Settings and Design This is a retrospective study in a tertiary care hospital in South India. Methods and Material We reviewed the clinical presentations and imaging findings of seven surgically proven cases of ACUM qualifying the proposed diagnostic criteria. Results All patients presented with chronic pelvic pain, dysmenorrhea, and prolonged post-menstrual pain. MRI in all seven cases showed an intramural, noncommunicating, and cavitating lesion near the uterine cornua with internal contents similar to that of endometrioma. Although the cavity was lined by endometrium in all the cases (proven in pathology), it was well appreciable on MRI in only five cases. The rest of the uterine myometrium and main endometrial cavity were normal with no features of adenomyosis. Conclusion MRI is a reliable diagnostic tool for accurate diagnosis of ACUM, and more importantly, in distinguishing it from other causes of chronic pelvic pain like adenomyosis and endometriosis and other imaging differentials like adenomyoma, noncommunicating uterine horn, and degenerating leiomyoma. |
format | Online Article Text |
id | pubmed-8590559 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
record_format | MEDLINE/PubMed |
spelling | pubmed-85905592021-11-16 Imaging Manifestations of Accessory Cavitated Uterine Mass—A Rare Mullerian Anomaly Putta, Tharani John, Reetu Simon, Betty Sathyakumar, Kirthi Chandramohan, Anuradha Eapen, Anu Indian J Radiol Imaging Context Accessory cavitated uterine mass (ACUM) is an uncommon and under-recognized entity with distinct imaging characteristics and causing significant patient distress. Differentiating it from its other clinical and radiological differentials is therefore extremely important and prevents delay in surgical management which is the treatment of choice. Aims The aim of the study is to describe the MRI appearance of the surgically and pathologically proven ACUM cases from our institution in the last 2 years. Settings and Design This is a retrospective study in a tertiary care hospital in South India. Methods and Material We reviewed the clinical presentations and imaging findings of seven surgically proven cases of ACUM qualifying the proposed diagnostic criteria. Results All patients presented with chronic pelvic pain, dysmenorrhea, and prolonged post-menstrual pain. MRI in all seven cases showed an intramural, noncommunicating, and cavitating lesion near the uterine cornua with internal contents similar to that of endometrioma. Although the cavity was lined by endometrium in all the cases (proven in pathology), it was well appreciable on MRI in only five cases. The rest of the uterine myometrium and main endometrial cavity were normal with no features of adenomyosis. Conclusion MRI is a reliable diagnostic tool for accurate diagnosis of ACUM, and more importantly, in distinguishing it from other causes of chronic pelvic pain like adenomyosis and endometriosis and other imaging differentials like adenomyoma, noncommunicating uterine horn, and degenerating leiomyoma. Thieme Medical and Scientific Publishers Pvt. Ltd. 2021-09-07 /pmc/articles/PMC8590559/ /pubmed/34790296 http://dx.doi.org/10.1055/s-0041-1735504 Text en Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited. |
spellingShingle | Putta, Tharani John, Reetu Simon, Betty Sathyakumar, Kirthi Chandramohan, Anuradha Eapen, Anu Imaging Manifestations of Accessory Cavitated Uterine Mass—A Rare Mullerian Anomaly |
title | Imaging Manifestations of Accessory Cavitated Uterine Mass—A Rare Mullerian Anomaly |
title_full | Imaging Manifestations of Accessory Cavitated Uterine Mass—A Rare Mullerian Anomaly |
title_fullStr | Imaging Manifestations of Accessory Cavitated Uterine Mass—A Rare Mullerian Anomaly |
title_full_unstemmed | Imaging Manifestations of Accessory Cavitated Uterine Mass—A Rare Mullerian Anomaly |
title_short | Imaging Manifestations of Accessory Cavitated Uterine Mass—A Rare Mullerian Anomaly |
title_sort | imaging manifestations of accessory cavitated uterine mass—a rare mullerian anomaly |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8590559/ https://www.ncbi.nlm.nih.gov/pubmed/34790296 http://dx.doi.org/10.1055/s-0041-1735504 |
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