Management of uterine cystic adenomyosis by laparoscopic surgery: case report

Zhao, Cheng-Zhi; Wang, Bin; Zhong, Chunyan; Lu, Shentao; Li, Lei

doi:10.1186/s12905-021-01341-1

Cited by 7 publications

(9 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Increased serum CA125 levels have also been proposed as a diagnostic tool for cystic adenomyosis. Cucinella et al ( 5 ) and Zhao et al ( 8 ) respectively described a large adenomyotic cyst with slightly elevated CA125. Furthermore, two cases of giant adenomyotic cyst originating from the cervix with raised CA125 levels were also reported by Pontrelli et al ( 9 ) and Isik et al ( 4 ).…”

Section: Discussionmentioning

confidence: 99%

Uterine adenomyotic cyst with markedly elevated serum CA19‑9 and CA125 levels: A case report

2022

View full text Add to dashboard Cite

Adenomyotic cysts are small cysts with a diameter of <5 mm, usually containing hemorrhagic material. The present study reported on a patient with a large adenomyotic cyst with abnormally high serum levels of CA19-9 (>1,000 U/ml) and CA125 (642 U/ml) and a complaint of pelvic pain. MRI scans were critical in diagnosing the case. Adhering to the principle of tumor-free implantation, a laparotomy was performed. After the operation, six weeks were required to normalize the serum level of CA19-9 and four weeks for CA125. Elevated tumor markers are frequently observed in malignancies, but the outcome reported in the present case was a benign lesion and the prognosis was favorable. In the present case, it was unusual that CA19-9 was elevated in addition to CA125, as it is commonly reported that only CA125 is elevated in cases of large adenomyotic cyst.

show abstract

Section: Discussionmentioning

confidence: 99%

Uterine adenomyotic cyst with markedly elevated serum CA19‑9 and CA125 levels: A case report

2022

View full text Add to dashboard Cite

show abstract

“…In 1908, Cullen first described uterine cystic lesions filled with chocolate-colored fluid ( 4 ). As a special type of endometriosis, the incidence of uterine cystic adenomyosis is low, and related literature reports in the past 30 years are shown in Table 1 ( 5 – 46 ). Terms often used in the literature include juvenile cystic adenomyosis (JCA), cystic myometrial lesions, juvenile adenomyotic cysts, uterine cystic adenomyosis, adenomyotic cyst of the uterus, adenomyotic cyst, intramyometrial cystic adenomyosis, or intrauterine cystic adenomyosis.…”

Section: Discussionmentioning

confidence: 99%

“…Laparoscopic surgical resection is suitable for lesions in the myometrium, close to the serosal layer. Laparoscopic resection can significantly improve related dysmenorrhea and increase the possibility of successful pregnancy ( 39 , 46 ). Robot-assisted laparoscopic management allows an optimal view and more efficient multilayer closure of the hysterotomy, thereby increasing the safety of future pregnancies ( 20 ).…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-Guided Transvaginal Aspiration and Sclerotherapy for Uterine Cystic Adenomyosis: Case Report and Literature Review

Zhao

Yang

2022

Front. Med.

View full text Add to dashboard Cite

BackgroundUterine cystic adenomyosis is a very rare type of adenomyosis which can be easily misdiagnosed in clinical practice. In the past, cases have been mostly treated with surgical resection of the uterine lesion.Case PresentationWe report the case of a 25-year-old woman who presented with severe dysmenorrhea for more than 1 year. Physical examination showed that the uterus was enlarged. The transvaginal ultrasound showed a cystic mass of about 5.0 × 3.6 × 3.6 cm in the posterior myometrium, with dense echo spots and no blood flow signal in the cystic part. Magnetic resonance imaging (MRI) indicated hemorrhages within the cystic mass, suggesting the possibility of uterine cystic adenomyosis. The lower abdominal pain and severe dysmenorrhea were not alleviated after a 6-month trial of oral contraceptives. Subsequently, she underwent ultrasound-guided transvaginal aspiration and sclerotherapy for uterine cystic adenomyosis. Approximately 90 mL of chocolate-colored fluid was aspirated from the mass and 20 mL of lauromacrogol was injected in the cyst. The reduction rates of the mass 3 and 12 months after the procedure were 92.01 and 99.10%, respectively. Her dysmenorrhea completely resolved. One and half year after the operation, she had a successful pregnancy and gave birth to a healthy baby through vagina.ConclusionThe rare entity of uterine cystic adenomyosis can be treated safely and effectively by ultrasound-guided transvaginal aspiration and sclerotherapy.

show abstract

“…Takeuchi et al ( 9 ) reported that the patient's CA-125 level could be normal or >500 U/mL. The diagnostic criteria for cystic adenomyosis are as follows ( 25 ): (1) isolated lesions; (2) no abnormalities in the uterus, fallopian tubes, and ovaries; (3) post-operative lesions with pathological reports of cystic adenomyosis; (4) excised lesions with endometrial glands and interstitium; (5) lesions that contain thick chocolate-like liquid; and (6) small lesions of adenomyosis, such as adenomyoma, that can be seen in the muscle layer adjacent to the lesion.…”

Section: Discussionmentioning

confidence: 99%

Subserous Cystic Adenomyosis: A Case Report and Review of the Literature

Jiang

et al. 2022

Front. Surg.

View full text Add to dashboard Cite

IntroductionCystic adenomyosis is a rare type of adenomyosis that often occurs in adolescents or women of childbearing age. Due to the few reports of this case, its clinical characteristics have not been clearly established.Case PresentationWe treated a 32-year-old married patient with cystic adenomyosis that reported persistent abdominal pain and massive vaginal bleeding, so an emergency laparotomy was performed. The intraoperative findings and post-operative pathology proved that the diagnosis was correct. The prognosis of the patient is good, and there is no recurrence within 3 months after surgery.ResultsSurgery is the most effective way to treat cystic adenomyosis. Ultrasound and magnetic resonance are the most effective auxiliary examinations for diagnosing the disease.ConclusionCystic adenomyosis is a sporadic disease. This article summarizes this condition's clinical manifestations, pathological features, diagnosis, treatment, and prognosis by reviewing the existing literature and the case presented in this report. It is noteworthy that early diagnosis and individualized treatment strategies can improve patients' quality of life.

show abstract

Management of uterine cystic adenomyosis by laparoscopic surgery: case report

Cited by 7 publications

References 4 publications

Uterine adenomyotic cyst with markedly elevated serum CA19‑9 and CA125 levels: A case report

Uterine adenomyotic cyst with markedly elevated serum CA19‑9 and CA125 levels: A case report

Ultrasound-Guided Transvaginal Aspiration and Sclerotherapy for Uterine Cystic Adenomyosis: Case Report and Literature Review

Subserous Cystic Adenomyosis: A Case Report and Review of the Literature

Contact Info

Product

Resources

About