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Large intramyometrial cystic adenomyosis: a hysteroscopic approach with bipolar resectoscope: Case report

  • M. Giana1,*,
  • F. Montella1
  • D. Surico1
  • A. Vigone1
  • C. Bozzola1
  • G. Ruspa1

1Department of Obstetrics and Gynaecology "Piemonte Orientate" University, Department of Anatomy and Pathohistology "Piemonte Orientate" University, Novara, Italy

DOI: 10.12892/ejgo200504462 Vol.26,Issue 4,July 2005 pp.462-463

Published: 10 July 2005

*Corresponding Author(s): M. Giana E-mail:

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Abstract

A case of an adenomyotic cyst in a 46-year-old woman was examined by means of transvaginal ultrasound, hysteroscopy and microscopy. The transvaginal ultrasound showed an anechoic area. Hysteroscopy revealed a cystic mass of the posterior wall and by means of a bipolar loop resectoscope the mass was removed. Histological examination of the lesion showed typical characteristics of an adenomyotic cyst. These results were consistent with those of previous reports and suggest that transvaginal ultrasound together with hysteroscopy is specific to diagnose and treat this kind of adenomyotic lesion.

Keywords

Adenomyotic cyst; Hysteroscopy; Myometrium; Transvaginal; Ultrasound; Loop bipolar resectoscope

Cite and Share

M. Giana,F. Montella,D. Surico,A. Vigone,C. Bozzola,G. Ruspa. Large intramyometrial cystic adenomyosis: a hysteroscopic approach with bipolar resectoscope: Case report. European Journal of Gynaecological Oncology. 2005. 26(4);462-463.

URL:

https://www.ejgo.net/articles/10.12892/ejgo200504462

References

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[2] Ejeckam G.C., Zeinab O.A., Bobeck H.E.: "Giant adenomyotic cyst of the uterus". Br. J. Obstet. Gynaecol., 1993, 100, 596.

[3] Iribarne C., Plaza J., De La Fluente P., Garrido C., Garzon A., Olaizola J.I.: "Intramyometrial cystic adenomyosis". J. Clinic Ultrasound, 1994, 22, 348.

[4] Brosen J., De Souza N.M., Barker F.G., Paraschos T., Winston R.M.L.: "Endovaginal ultrasonography in the diagnosis of adenomyosis uteri: identifying the predictive characteristics". Br. J Obstet. Gynaecol., 1995, 102, 471.

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[6] Kekstein J.: "Hysteroscopy and adenomyosis". Contrib. Gynecol Obstet., 2000, 20, 41.

[7] McCausland Y., McCausland A.: "The response of adenomyosis to endometrial ablation/resection". Hum. Reprod. Update, 1998, 4, 350.

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