A Rare Case of Multiple Subserous Uterine Adenomyomas Misdiagnosed as an Ovarian Cyst, Diagnosed and Treated by Laparoscopy.

IF 2.5 4区医学 Q2 OBSTETRICS & GYNECOLOGY

International Journal of Women's Health Pub Date : 2024-12-19 eCollection Date: 2024-01-01 DOI:10.2147/IJWH.S494745

Huali Fei, Xiaoyan Guo, Jin Li, Xuejing Jin

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引用次数: 0

Abstract

Objective: To report a rare case of multiple subserous uterine adenomyomas diagnosed and treated by laparoscopy.

Case report: A premenopausal 55-year-old woman was admitted presenting with bilateral adnexal cysts. Preoperative ultrasound and magnetic resonance imaging both indicated a right ovarian cyst. However, during the laparoscopic surgery, it was identified that the cyst was multiple subserosal uterine cystadenomas, which were located on the posterior wall of the uterus and adjacent to the right ovary. Postoperatively, the pathology revealed that it was a subserosal uterine cystadenoma.

Conclusion: Subserous adenomyomas, a rare subtype of uterine adenomyomas, are commonly reported in the literature as a single adenomyoma. Furthermore, no studies have reported the presence of multiple subserosal adenomyomas. This condition requires attention, and it is essential to differentiate it from ovarian cysts. Subserosal adenomyomas exceeding 8 cm in diameter are rare, with the literature documenting a mere six cases. Larger cysts are associated with a higher likelihood of malignancy. There is currently no effective drug treatment available for this disease. Laparoscopy is an effective method for treating this condition.

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多发性浆膜下子宫腺肌瘤误诊为卵巢囊肿1例，经腹腔镜诊治。

目的：报告一例罕见的多发性子宫浆膜下腺肌瘤的腹腔镜诊断和治疗。病例报告：一名55岁的绝经前妇女因双侧附件囊肿入院。术前超声及磁共振均提示右侧卵巢囊肿。但在腹腔镜手术中发现该囊肿为多发性浆膜下子宫囊腺瘤，位于子宫后壁，毗邻右侧卵巢。术后病理证实为浆膜下子宫囊腺瘤。结论：浆膜下腺肌瘤是一种罕见的子宫腺肌瘤亚型，文献中常报道为单一的子宫腺肌瘤。此外，没有研究报道多发性浆膜下腺肌瘤的存在。这种情况需要注意，并且必须将其与卵巢囊肿区分开来。浆膜下腺肌瘤直径超过8厘米是罕见的，文献记录只有6例。较大的囊肿与恶性肿瘤的可能性较高有关。目前还没有有效的药物治疗这种疾病。腹腔镜检查是治疗此病的有效方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Women's Health OBSTETRICS & GYNECOLOGY-

CiteScore

3.70

自引率

0.00%

发文量

194

审稿时长

16 weeks

期刊介绍： International Journal of Women''s Health is an international, peer-reviewed, open access, online journal. Publishing original research, reports, editorials, reviews and commentaries on all aspects of women''s healthcare including gynecology, obstetrics, and breast cancer. Subject areas include: Chronic conditions including cancers of various organs specific and not specific to women Migraine, headaches, arthritis, osteoporosis Endocrine and autoimmune syndromes - asthma, multiple sclerosis, lupus, diabetes Sexual and reproductive health including fertility patterns and emerging technologies to address infertility Infectious disease with chronic sequelae including HIV/AIDS, HPV, PID, and other STDs Psychological and psychosocial conditions - depression across the life span, substance abuse, domestic violence Health maintenance among aging females - factors affecting the quality of life including physical, social and mental issues Avenues for health promotion and disease prevention across the life span Male vs female incidence comparisons for conditions that affect both genders.