Extrauterine adenomyomas presenting in a 47 year old woman with a previous cesarean section

Gruttadauria, Michelle; Wen, Xin; Burke, William M.

doi:10.1016/j.gore.2019.100524

Cited by 5 publications

(12 citation statements)

References 5 publications

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“… Case 3 6 cm, pararectal mass; 3 cm, ovarian mass 37 Laparoscopic myomectomy 5 years back, endometriosis Subfertility, intermenstrual spotting, dysmenorrhea, constipation USG Laparoscopic excision and left ovarian cystectomy C 38 Gruttadauria et al. [ 51 ] 3 cm, right ovary; 7 cm, mass anterior to the rectum; multiple masses at the bilateral uterosacral areas and sigmoid mesentery 47 Previous cesarean section Hip pain MRI leiomyomatosis peritoneii or carcinomatosis Total abdominal hysterectomy, left salpingectomy (right tube was absent), right ovarian cystectomy and excision of multiple masses at the bilateral uterosacral areas and sigmoid mesentery B 39 Api et al. [ 52 ] 52 × 27 mm, left ovary 45 Endometrial polyp Hypermenorrhea USG fibroma or thecoma Total abdominal hysterectomy and bilateral salpingo-oopherectomy 40 Belmarez et al.…”

Section: Discussionmentioning

confidence: 99%

A rare case of ovarian adenomyoma mimicking primary invasive ovarian cancer with a contralateral serous borderline ovarian tumor: A case report and review of the literature

Liberale

Surace

Lilleri

et al. 2020

Heliyon

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Extrauterine adenomyoma is a rare type of benign tumor, characterized by nodular aggregate of smooth muscle, endometrial glands and endometrial stroma, arising outside the uterus. In this study we describe a case of primary ovarian adenomyoma associated with endometriotic cysts with contralateral serous borderline tumor in a 40-year-old woman and we highlight how preoperative exams could lead to the suspicious of invasive cancer. We provide a review of the literature, analyzing all cases of extrauterine adenomyoma published so far, classifying them on the basis of pathogenetic theories proposed, localization of the lesion, imaging modalities and treatment adopted.

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Section: Discussionmentioning

confidence: 99%

A rare case of ovarian adenomyoma mimicking primary invasive ovarian cancer with a contralateral serous borderline ovarian tumor: A case report and review of the literature

Liberale

Surace

Lilleri

et al. 2020

Heliyon

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“…Benign metastasizing uterine adenomyomas are benign tumors composed of endometrial glands, endometrial stroma, and smooth muscle cells ( 2 ). To our knowledge, only 35 cases of extrauterine adenomyomas have been reported ( 3 ). The most common sites were the pararectal space, ovary, and broad ligament, other pelvic areas include ligamentum teres, paraovarian, parauterine, and pelvic wall.…”

Section: Discussionmentioning

confidence: 99%

Case Report: Benign Uterine Adenomyoma Metastasis in the Right Lung

et al. 2022

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BackgroundPulmonary metastasis of benign uterine leiomyoma and uterine endometriosis has been reported; however, pulmonary benign metastasizing uterine adenomyoma has not been reported. Herein, we report the first case of pulmonary benign metastasizing uterine adenomyoma. It is very important to differentiate from pulmonary primary synovial sarcoma; histopathology and immunohistochemistry are very helpful, molecular pathology can be used if necessary.Case PresentationA female patient was admitted to the hospital because of pulmonary nodules. Lung computed tomography (CT) showed a nodular high density shadow in the upper lobe of the right lung, with a clear boundary and a diameter of approximately 1.2 cm. A contrast CT scan showed obvious enhancement, and no obvious lobulation or burr was found. Video-assisted thoracoscopic resection of the tumor was performed. The upper lobe nodules were completely removed. Postoperative pathological report confirmed the lesion as metastatic benign adenomyoma of the right upper lung.ConclusionThe lung is the most common organ for malignant tumor metastasis, and a few benign tumors can also develop pulmonary metastasis. Pulmonary benign metastasizing adenomyoma is extremely rare, and the prognosis is very good after surgical resection. When pulmonary CT shows a solid high-density shadow, we should consider the possibility of a metastatic benign tumor.

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“…Given the paucity of literature on the radiological appearance of extrauterine adenomyomas, they are often initially mistaken for peritoneal carcinomatosis, which is far more common [13 , 21] . However, the lack of omental fatty infiltration of tumor, significant ascites, or solid organ metastases can help differentiate this entity from malignant conditions.…”

Section: Discussionmentioning

confidence: 99%

“…However, the lack of omental fatty infiltration of tumor, significant ascites, or solid organ metastases can help differentiate this entity from malignant conditions. Nonetheless, a definitive diagnosis is only established after histopathological examination of the resected specimens [7 , 21] .…”

Section: Discussionmentioning

confidence: 99%

Two Rare Entities in One Patient: Mucinous Tubular and Spindle Cell Carcinoma of the Kidney and Peritoneal Adenomyomas

Alves

Gaivão

Marques

et al. 2021

Radiology Case Reports

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Mucinous tubular and spindle cell carcinoma of the kidney is a rare subtype of renal cell carcinoma, that is believed to portend a favorable prognosis. Adenomyomas are benign tumors that typically arise from the myometrium. Extrauterine adenomyomas are extremely rare, with only a few cases reported in the literature. Here, we present an unusual case of a 46-year-old woman, with an incidentally detected bulky interpolar left kidney mass measuring 12 cm and multiple lobulated coalescent peritoneal nodules in the large epiploon suspicious for peritoneal carcinomatosis. A biopsy of the lesions revealed a mucinous tubular and spindle cell carcinoma of the kidney and extrauterine adenomyomas of the peritoneum. A left radical nephrectomy was performed and long-term hormone therapy with gonadotropin-releasing hormone agonists was prescribed. The purpose of this article is to focus on these two rare lesions, review the current literature, illustrate their key imaging findings along with pathologic correlation, as well as to discuss the differential diagnosis and clinical management.

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Extrauterine adenomyomas presenting in a 47 year old woman with a previous cesarean section

Abstract: HighlightsExtrauterine adenomyoma cannot be solely diagnosed on the basis of radiographic appearance.There are five theories for the pathophysiology of extrauterine adenomyomas.Surveillance and treatment range from none to ovarian suppression.

Cited by 5 publications

References 5 publications

A rare case of ovarian adenomyoma mimicking primary invasive ovarian cancer with a contralateral serous borderline ovarian tumor: A case report and review of the literature

A rare case of ovarian adenomyoma mimicking primary invasive ovarian cancer with a contralateral serous borderline ovarian tumor: A case report and review of the literature

Case Report: Benign Uterine Adenomyoma Metastasis in the Right Lung

Two Rare Entities in One Patient: Mucinous Tubular and Spindle Cell Carcinoma of the Kidney and Peritoneal Adenomyomas

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