Adenosarcomas are biphasic neoplasms that usually originate in the uterine corpus and comprise a benign epithelial component and a malignant stromal component. Uterine adenosarcomas typically present with abnormal genital bleeding, an enlarged uterus, and a tumor that protrudes into the endometrial cavity. These tumors rarely protrude through the cervical os and are often misdiagnosed as cervical polyps. We present the case of a patient with cervical adenosarcoma with characteristics different from those reported in previous cases. This tumor showed endophytic growth, which is rare in cervical adenosarcomas. No watery discharge or obvious genital bleeding was noted. Although the tumor measured 4 cm, vaginal bleeding was noted only once at 6 months before diagnosis and was in the form of faint brown discharge.

FMC levels could identify pregnancy-related abnormalities requiring compression ultrasonography examination, without changing the cut-off values for non-pregnant individuals. Thus, this marker may be used to screen for VTE.

Submucosal myomas often become pedunculated and pass through the cervix, resulting in episodes of major genital hemorrhage. We attempted the removal of prolapsed uterine myomas in an outpatient, using a loop ligator device (ENDOLOOP PDS II ETHICON ®). Here, we report our experience with successful removal of multiple transvaginal uterine myomas by ligation of the stem. A 52-year-old patient (gravida 3, para 2) presented with severe anemia secondary to hypermenorrhea. Colposcopic examination, transvaginal ultrasonography, and pelvic magnetic resonance imaging led to the diagnosis of a prolapsed uterine myoma. For personal reasons, the patient requested outpatient management and underwent treatment with loop ligation. Following ligation, the hypermenorrhea improved, without exacerbation of anemia or signs of infection. The submucosal myoma gradually receded due to the decreased blood flow caused by ligation. At 41 months after initial evaluation, myoma resection was performed using hysteroscopy. The uterine myoma was suspended by a thick stem; therefore, several ligation treatments were performed over an extended period. Ligation was aimed at cutting off the blood flow to the prolapsed uterine myoma. Even if blood flow could not be completely cut off, ligation was expected to decrease the uterine myoma size by decreasing blood flow.

Objective: Since laparoscopic surgery has more limitations than laparotomy; thus, it needs more ingenuity. Herein, we will examine and report the ideas we use for laparoscopic myomectomy at our hospital. Methods: First, set the abdominal wall lift, after which the first trocar will be inserted for the 5.5 mm camera, as the optical method. After inserting all the trocars, the pneumoperitoneum pressure should be 12 mmHg for observation of the abdominal cavity, and be kept at 5 mmHg during the surgical procedure. A 3-cm skin incision will be made on the pubis attached with a lap disc mini for inserting and removing needles, threads, and fibroids. Fibroids will be kept inside with a thread attached to it to prevent lost. Since the fibroids must be manually cut into small pieces by a scalpel, a tube, which is cut off from a syringe, will be used to prevent abdominal wall damage. Seprafilm will be used for the myomectomy wound with a special tube to be inserted for all cases.Discussion: It will be safe not to damage the gastrointestinal tract by using abdominal wall lift first. A tube cut off from a syringe made it easier to carry out the fibroid resection. The seprafilm was certainly placed by using a special tube.Conclusion: Laparoscopic myomectomy will be performed safely by using various ingenuities from the beginning to the end of the operation. Additionally, the time and cost of the operation will be reduced.

Cesarean scar pregnancy (CSP) is a form of ectopic pregnancy in which implantation occurs in a scar due to a previous cesarean section. With the progression of pregnancy and growth of the gestational sac, the implantation site will rupture if the muscle layer covering the chorion is thin, resulting in massive bleeding. Thus, careful maternal management is necessary. We herein report our experience of a case of miscarriage in a woman with CSP.