Adenomatoidtumoren im Myometrium

Abstract

In 6000 cases of hysterectomy nine adenomatoid tumors of myometrium were observed. Macroscopically, the adenomatoid tumour appears as a round or ovoid mass of grey or whitegrey colour about the size of a hazel-nut. Microscopically, four types are distinguished: solid, angiomatoid, macrotubular and mixed types. The cytoplasma of the cells tends to be vacuolated, the glandlike spaces being probably derived by confluence of these vacuoles. The interstitial tissue contains cells of the same type and often lymphocytes. Several hypotheses concerning the histogenesis of adenomatoid tumors are reviewed. The adenomatoid tumor is more frequent in the myometrium than it has been hitherto known. Probably the tumor is often misinterpreted as leiomyoma of the uterus on the basis of macroscopical appearance only.

Laparoscopic excision of adenomatoid tumour at cornu of the uterus and cornual (interstitial) pregnancy

“…5 The tumour is often misinterpreted as a leiomyoma of the uterus on the basis of the macroscopic appearance only. 6 The treatment of the adenomatoid tumour is simple excision of the tumour, if the uterus is not going to be removed for other reasons. Follow‐up examinations of patients, who have undergone surgery for an adenomatoid tumour have never, even over a period of up to 22 years, revealed recurrences, and ‘malignant degeneration’ is extremely rare.…”

“…Cases of treatment by laparoscopic surgery have recently been reported. 6–12 Although excision and removal is feasible by laparoscopy, the laparoscopic approach should be used only by those who have considerable experience in laparoscopic surgery.…”