Uterus-like mass in the left broad ligament misdiagnosed as a malformation of the uterus: A case report of a rare condition and review of the literature

Liang, Yuanjiao; Hao, Qun; Yuan-zhe, WU; Wu, Bo

doi:10.1016/j.fertnstert.2009.10.040

Cited by 35 publications

(50 citation statements)

References 6 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.…”

Section: Discussionunclassified

“…Bizim olgumuzda bu mekanizmaları düşündürecek herhangi bir uterin anomali, pelvik yapışıklık görülmemiştir. Extrauterin adenomyom etyolojisi için iki teori öne sürülmüştür; müllerian kanal füzyon defekti ve subçölomik mezanşim metaplazisi 3 . Müllerian kanal füzyon defekti uterus benzeri kitlelerin patojenezini açıklar.…”

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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“…[2][3][4][5][6][7] Rare cases originating from broad ligament, liver and mesentry have been reported. 2,[8][9][10] . Two extraovarian cases were reported at pelvic location after hysterectomy.…”

Section: Discussionmentioning

confidence: 99%

Uterus like ovarian mass in a young female clinically mimicking Carcinoma ovary

2020

IJOGR

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Uterus -like ovarian mass is a rare entity of uncertain histogenesis. A 30 year old female had a Left ovarian mass. Her preoperative serum CA 125 was 700U/ml. So a clinical diagnosis of Carcinoma ovary was made. We received left salpingoopherectomy specimen for intraoperative frozen consultation. On gross examination, left ovarian mass measured 10x8x6.5cm. External surface was smooth and showed congested blood vessels. On cutting, mass was partly solid and partly cystic showing small cystic cavities filled with blood mixed fluid. The cyst wall surrounding the cavities was remarkably thickened. Microscopic examination of frozen section revealed a lesion predominantly composed of benign spindle cells. So we gave a diagnosis of benign cystic non neoplastic lesion on frozen section. Formalin fixed paraffin embedded sections followed. Microscopic examination of formalin fixed paraffin embedded sections revealed a cystic mass lined by endometrial type of lining and stroma surrounded by remarkable smooth muscle hyperplasia. In areas, haemorrhage, infiltration by hemosiderophages and hemorrhagic corpus luteum were also seen. So we gave a final diagnosis of uterus like ovarian mass. To the best of our knowledge, only 15 cases of extrauterine uterus like masses have been reported in the literature. Of these, 5 cases were of ovarian origin. This report documents a sixth case of uterus-like ovarian mass.

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“…Liang et al [8] have reported a case of 'uterus like mass of broad ligament' immediately adjacent to uterus but without definite connection to the uterus, in a 17-year-old girl. They have suggested theory of metaplasia as both glandular and stromal smooth muscle cells proliferate like a true neoplasm.…”

Section: Discussionmentioning

confidence: 99%

Uterus like mass of broad ligament presenting as palpable mass.

2016

IJSR

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Uterus-like mass in the left broad ligament misdiagnosed as a malformation of the uterus: A case report of a rare condition and review of the literature

Cited by 35 publications

References 6 publications

Intraligamentary Adenomyoma

Intraligamentary Adenomyoma

Uterus like ovarian mass in a young female clinically mimicking Carcinoma ovary

Uterus like mass of broad ligament presenting as palpable mass.

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