Extrauterine adenomyoma with uterus like features: A rare entity presenting 17 years post hysterectomy

Khurana, Anuj; Mehta, Anurag; Sardana, Manjula

doi:10.4103/0377-4929.85096

Cited by 15 publications

(23 citation statements)

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“…These uterus-like masses can be located in various extrauterine sides including the broad ligament, ovary, and uterosacral ligament [11, 14, 16, 17]. They typically exhibit an organoid arrangement consisting of a single central cavity lined by endometrial type mucosa with surrounding myometrial like tissue.…”

Section: Discussionmentioning

confidence: 99%

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Abscessed Uterine and Extrauterine Adenomyomas with Uterus-Like Features in a 56-Year-Old Woman

Bulut

Sipahi

2013

Case Reports in Obstetrics and Gynecology

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Adenomyosis, also known as endometriosis interna, is the presence of endometrial glands and stroma within the myometrium. Its localised form is called adenomyoma and mimics a leiomyoma. Rarely, adenomyomas are located outside the uterus and some of them form uterus-like masses with a thick muscle wall and an endometrium-lined central cavity. They are generally located in the ovary or broad ligament, and, although they are closely related to endometriosis, their pathogenetic mechanisms are different from each other. Müllerian duct fusion defect and subcoelomic mesenchyme transformation theory are two possible pathogenetic mechanisms for this rare entity. Here we report abscessed uterine and extrauterine adenomyomas forming uterus-like masses in the left and right broad ligament and an ectopic adrenal tissue in the left paraovarian region in a 56-year-old woman. Although there is a reported abscessed adenomyosis in the literature, this is the first abscessed extrauterine uterus-like masses with synchronous pelvic pathologies like endometriosis, leiomyomas, adenomyosis, an endometrial polyp, an endocervical polyp, and an ectopic adrenal tissue. This benign lesion gives the impression of leiomyoma, a uterine malformation, or even malignancy preoperatively. Frozen section helps in differential diagnosis.

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Section: Discussionmentioning

confidence: 99%

“…As there are two reported extrauterine adenomyomas with features of uterus-like masses that occurred 17 and 22 years after hysterectomy, a long term followup is essential for these patients [16, 17]. Treatment with broad-based antibiotics can be unsuccessful for the abscessed ones.…”

Section: Discussionmentioning

confidence: 99%

Abscessed Uterine and Extrauterine Adenomyomas with Uterus-Like Features in a 56-Year-Old Woman

Bulut

Sipahi

2013

Case Reports in Obstetrics and Gynecology

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“…Other reports have detailed masses ranging from 1 to 20 cm in size, with cystic components, adenomyosis, or large cavities lined with endometrial tissue. [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] However, this is the first report of concurrent involvement of endometrioid adenocarcinoma in both an extrauterine adenomyoma and uterine fundus.…”

Section: Commentmentioning

confidence: 97%

Endometrioid Adenocarcinoma in an Extrauterine Adenomyoma

Ulm

Robins

Thorpe

et al. 2014

Obstetrics &Amp; Gynecology

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“…Two extraovarian cases were reported at pelvic location after hysterectomy. 1,11 Sizes ranged from 6 to 16 cm. The gross appearance, including cystic and solid areas, varied between cases.…”

Section: Discussionmentioning

confidence: 99%

Uterus like ovarian mass in a young female clinically mimicking Carcinoma ovary

2020

IJOGR

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Uterus -like ovarian mass is a rare entity of uncertain histogenesis. A 30 year old female had a Left ovarian mass. Her preoperative serum CA 125 was 700U/ml. So a clinical diagnosis of Carcinoma ovary was made. We received left salpingoopherectomy specimen for intraoperative frozen consultation. On gross examination, left ovarian mass measured 10x8x6.5cm. External surface was smooth and showed congested blood vessels. On cutting, mass was partly solid and partly cystic showing small cystic cavities filled with blood mixed fluid. The cyst wall surrounding the cavities was remarkably thickened. Microscopic examination of frozen section revealed a lesion predominantly composed of benign spindle cells. So we gave a diagnosis of benign cystic non neoplastic lesion on frozen section. Formalin fixed paraffin embedded sections followed. Microscopic examination of formalin fixed paraffin embedded sections revealed a cystic mass lined by endometrial type of lining and stroma surrounded by remarkable smooth muscle hyperplasia. In areas, haemorrhage, infiltration by hemosiderophages and hemorrhagic corpus luteum were also seen. So we gave a final diagnosis of uterus like ovarian mass. To the best of our knowledge, only 15 cases of extrauterine uterus like masses have been reported in the literature. Of these, 5 cases were of ovarian origin. This report documents a sixth case of uterus-like ovarian mass.

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Extrauterine adenomyoma with uterus like features: A rare entity presenting 17 years post hysterectomy

Cited by 15 publications

References 0 publications

Abscessed Uterine and Extrauterine Adenomyomas with Uterus-Like Features in a 56-Year-Old Woman

Abscessed Uterine and Extrauterine Adenomyomas with Uterus-Like Features in a 56-Year-Old Woman

Endometrioid Adenocarcinoma in an Extrauterine Adenomyoma

Uterus like ovarian mass in a young female clinically mimicking Carcinoma ovary

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