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Clinical and Experimental Obstetrics & Gynecology  2017, Vol. 44 Issue (6): 961-963    DOI: 10.12891/ceog3886.2017
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A giant cystic adenomyoma mimicking the degeneration of uterine myoma
Lu-lu Fu1, Li-ping Zheng2, Hai-long Bao3, Ya-fei Meng3, Chun-hui Gu2, Lian-wen Zheng1, *()
1 Department of Obstetrics and Gynecology, the Second Hospital of Jilin University, Changchun, China
2 Department of Obstetrics and Gynecology, Hulunbeier People's Hospital, Inner Mongolia, China
3 Department of pathology, Hulunbeier People's Hospital, Inner Mongolia, China
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Abstract  
Purpose: To report a rare giant isolated cystic adenomyoma mimicking the degeneration of uterine myoma. Materials and Methods: The authors present a 39-year-old woman referred to this hospital complaining of lower abdominal pain. Transvaginal ultrasonography (US) showed a 6.0×3.9 cm cystic region within an 8.0×6.1cm solid mass on the posterior of the uterine wall mimicking the degeneration of uterine myoma. Laparotomy was performed and the mass was excised completely. Results: Pathology of the specimen demonstrated the cystic cavity was lined by endometrial glands and stroma, hemosiderin deposition was also seen, confirming the diagnosis of cystic adenomyoma. The patient made a good recovery and she was relieved from symptoms and remained asymptomatic over her follow-up interval. Conclusion: Clinicians need to pay attention to its differential diagnosis of uterine cystic lesions preoperatively.
Key words:  Cystic adenomyosis      Adenomyotic cyst      Cystic adenomyoma      Degeneration of myoma      Chocolate-like liquid     
Published:  10 December 2017     
*Corresponding Author(s):  LIAN-WEN ZHENG     E-mail:  davezheng@sohu.com

Cite this article: 

Lu-lu Fu, Li-ping Zheng, Hai-long Bao, Ya-fei Meng, Chun-hui Gu, Lian-wen Zheng. A giant cystic adenomyoma mimicking the degeneration of uterine myoma. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(6): 961-963.

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https://ceog.imrpress.com/EN/10.12891/ceog3886.2017     OR     https://ceog.imrpress.com/EN/Y2017/V44/I6/961

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