Multiple extrauterine adenomyomas and uterus-like masses: case reports and review of the literature

Carinelli, Silvestro; Motta, Federica; Frontino, Giada; Restelli, Elena; Fedele, Luigi

doi:10.1016/j.fertnstert.2009.01.076

Cited by 22 publications

(55 citation statements)

References 15 publications

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“…Bunlar genel olarak benign intrauterin tümörlerdir ve çok nadir olarak da ekstra uterin görülürler.Olgu raporları semptomolojik, dermografik ve lokasyon olarak çeşitlilik göstermektedir [3][4][5][6][7][8] . Ekstrauterin yerleşim bölgelerinden biri de broad ligament olup olgu sunumumuzda insidental olarak saptanan intraligamenter adenomyom tartışılmıştır.…”

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“…Carinelli ve ark. 7 19 tane ekstra uterin adenomyom olgusunu rapor etmişlerdir. Bu uterus benzeri kitleler, over, broad ligament, uterosakral ligament gibi ekstra uterin yerlerde lokalize olmuşlardır.…”

Section: Discussionunclassified

“…Bu düzenlenme uterus benzeri kitle görünümü oluşturur. Nitekim bazı araştırmacılar alternatif bir terminoloji olarak uterus benzeri kitle terimini kullanmışlardır 5,7 . Ayırıcı tanıda endometrioma, leiomyomatosis peritonealis diseminata, ekstrauterine leiomyom, konjenital bir malformasyon olarak görülebilen uterus benzeri kitleler (rudimenter horn, vb.…”

Section: Discussionunclassified

“…Bu tabaka primitif çölomda, erken mülleriyen ve wolf kanalını oluşturacak yapıların mezenşimini oluşturur 9 . Bu mezanşim tabakasının proliferasyonu, endometrial stromal hücreler, desidua, düz kas içeren mezanşimal lezyonların gelişmesine neden olabilir 3,5,7 . …”

Section: Discussionunclassified

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Intraligamentary Adenomyoma

Taşkın¹,

Adalı²,

Başer³

et al. 2015

BSBD

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ÖZETAdenomyozis, endometrial gland ve stroma yapısının myometriumda bulunması halidir. Lokalize formuna adenomyom denilir ve adenomyomlar leiomyomu taklit eder. Ekstrauterin adenomyom literatürde vaka sunumları olarak yer alan ve oldukça nadir görülen bir antitedir. Patolojilerinde endometrial mukoza ile döşeli santral bir kavite ve çevresinde myometrium dokusundan kalın bir duvar yapısı ile uterus benzeri kitle görünümü vardır. Ekstrauterin adenomyomlar, over, broad ligament, uterosakral ligamant ya da ekstrapelvik lokalizasyonlu olabilirler. Etyopatojenezinden müllerian kanal kapanma defekti ve subçölomik mezanşimal transformasyon sorumlu tutulmaktadır. Bu yazıda, 37 yaşında primer infertil hastada sol adneksiyal kitle nedeniyle yapılan laparoskopi sırasında ligamantum latum yaprakları arasında tespit edilen ve histopatolojik olarak ekstrauterin adenomyom tanısı alan olgu tartışılmıştır. Ayırıcı tanıda endometrioma, leiomyomatozis peritonealis, leiomyomlar, maliniteler yer almalıdır. Nadir görülse de adneksiyal kitlelerin ayırıcı tanısında ekstrauterin adenomyomlar akla gelmelidir.Anahtar Kelimeler: Adenomyozis, broad ligament, mezanşimal transformasyon. SUMMARYAdenomyosis is the presence of endometrial glands and stroma within the endometrium. Its localised form is called adenomyoma and adenomyomas mimic leiomyomas. An extrauterine adenomyoma is an extremely rare entity and take a place in the literature as case reports. Uterus like masses with thick muscle wall and endometrium-lined central cavity are seen in their pathology. Extrauterin adenomyomas can be located in ovary, broad ligament, uterosacral ligament or extrapelvic localisation. Müllerian duct fusion defect and subcoelomic mesenchyme transformation are two possible theory for etiopathogenesis of extrauterine adenomyoma. Herein, we discussed a patient 37 years old with primary infertility which was operated for left adnexial mass and detected intraligamentary mass during laparoscopy. The diagnosis was confirmed as extrauterine adenomyoma with histopathological examination. Differantial diagnosis should be done with endometrioma, leiomyomatosis peritonealis, leiomyomas and malignancies. Althought it is an extremely rare entity, extrauterine adenomyomas should be included in differential diagnosis of adnexal masses.

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Section: Discussionunclassified

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Intraligamentary Adenomyoma

Taşkın¹,

Adalı²,

Başer³

et al. 2015

BSBD

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“…3 Including our patient, 36 cases of extrauterine adenomyomas have been reported, and they are typically found in the adnexa. 4 Endometrioid adenocarcinoma in an extrauterine adenomyoma found in our patient presents an interesting challenge in staging and management of extrauterine disease not attributed to metastasis from the uterine corpus. Our discussion encompasses the etiology of the lesion as well as current literature and recommendations regarding staging of endometrioid adenocarcinoma involving an extrauterine adenomyoma.…”

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Endometrioid Adenocarcinoma in an Extrauterine Adenomyoma

Ulm

Robins

Thorpe

et al. 2014

Obstetrics &Amp; Gynecology

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Extrauterine adenomyoma: A case report and systematic review of the literature

Giorgi,

Labanca,

Centini

et al. 2023

Intl J Gynecology & Obste

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ObjectiveTo describe a case of extrauterine adenomyoma (EA) and review all the cases of EA in the literature.MethodsPubmed/MEDLINE, Embase, and Google Scholar from 1807 to December 2022. All studies reporting the histologic diagnosis of an EA. We collected the following data: patient's age, size and location of adenomyoma, presence of endometriosis and adenomyosis, past gynecologic treatment, symptoms, diagnostic imaging, surgical intervention, alternative/adjuvant treatment, associated malignancy, and follow up.ResultsSixty‐seven studies with 85 patients were included. Pain was the most frequent symptom (69.5%). Among diagnostic examinations, ultrasonography was used in 60 out of 81 reported cases, with several radiologic features described. EA was located inside the pelvis in 77.6% of patients. Adnexa were the most frequent site of the disease (24, 28.2%). History of endometriosis or adenomyosis was described in 35 patients (35, 41.2%). Uterine tissue morcellation was reported in 6 of the 85 patients (7.1%). Associated malignancy was detected in 9 out of 85 patients with available data (10.6%). There were two recurrences of disease.ConclusionSpecific imaging features of EA are yet to be described in the literature. History of endometriosis and adenomyosis or uterine tissue morcellation may be suggestive of EA. Histologic examination can give a definitive diagnosis and exclude malignant transformation.

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Multiple extrauterine adenomyomas and uterus-like masses: case reports and review of the literature

Cited by 22 publications

References 15 publications

Intraligamentary Adenomyoma

Intraligamentary Adenomyoma

Endometrioid Adenocarcinoma in an Extrauterine Adenomyoma

Extrauterine adenomyoma: A case report and systematic review of the literature

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