Case Report
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INTRALİGAMENTER ADENOMYOMA

Year 2015, Volume 4, Issue 2, 107 - 110, 31.08.2015

Abstract

Adenomyozis, 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.

References

  • 1. Bulun SE. Endometriosis. N Engl J Med 2009;360(3):268-279.
  • 2. C Zaloudek, MR Hendrickson. Mesenchymal tumors of the uterus. Blaustein’s Pathology of the Female Genital Track, R J Kurman, Ed., pp. 599–600, Springer, New York, NY, USA, 5th edition, 2002.
  • 3. Liang YJ, Hao Q, Wu YZ, Wu B. 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. Fertility and Sterility 2010;93(4):1347.e13– 1347.e16.
  • 4. Choudhrie L, Mahajan NN, Solomon MV, Thomas A, Kale AJ, Mahajan K. Ovarian ligament adenomyoma: a case report. Acta Chirurgica Belgica 2007;107(1):84–5.
  • 5. Bulut AS, Sipahi TU. Abscessed uterine and extrauterine adenomyomas with uterus-like features in a 56-year-old woman. Case Rep Obstet Gynecol 2013;2013:238156.
  • 6. Sisodia SM, Khan WA, Goel A. Ovarian ligament adenomyoma: report of a rare entity with review of the literature. J Obstet Gynaecol Res 2012;38(4):724-28.
  • 7. Carinelli S, Motta F, Frontino G, Restelli E, Fedele L. Multiple extrauterine adenomyomas and uterus-like masses: case reports and review of the literature. Fertility and Sterility 2009;91(5):1956.e9–1956.e11.
  • 8. Moghadamfalahi M, Metzinger DS. Multiple extrauterine adenomyomas presenting in upper abdomen and pelvis: a case report and brief review of the literature. Case Rep Obstet Gynecol 2012;565901.
  • 9. Stewart CJ, Leung YC, Mathew R, McCartney AL. Extrauterine adenomyoma with atypical (symplastic) smooth muscle cells: a report of 2 cases. Int J Gynecol Pathol 2009;28(1):23-8.
  • 10. Sadler TW. Langman’s Medical Embryology, 6th edn. Baltimore, MD: Williams and Wilkins, 1990; 270–283.
  • 11. Lauchlan SC. The secondary Mullerian system. Obstet Gynecol Surv 1972;27(3):133–146.
  • 12. Redman R, Wilkinson EJ, Massoll NA. Uterine-like mass with features of an extrauterine adenomyoma presenting 22 years after total abdominal hysterectomy-bilateral salpingo-oophorectomy: a case report and review of the literature. Arch Pathol Lab Med 2005;129(8):1041-3.
  • 13. Torres D, Parker L, Moghadamfalahi M, Sanders MA, Metzinger DS. Clear Cell Adenocarcinoma Arising in an Adenomyoma of the Broad Ligament. Int J Surg Pathol 2014;pii: 1066896914539550.
  • 14. Huanwen W, Hui Z, Xiaowei X, Zhaohui L. Extrauterine adenomyoma of the liver with a focally cellular smooth muscle component occurring in a patient with a history of myomectomy: case report and review of the literature. Diagn Pathol 2013;5;8:131.

INTRALIGAMENTARY ADENOMYOMA

Year 2015, Volume 4, Issue 2, 107 - 110, 31.08.2015

Abstract


Adenomyosis 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.


References

  • 1. Bulun SE. Endometriosis. N Engl J Med 2009;360(3):268-279.
  • 2. C Zaloudek, MR Hendrickson. Mesenchymal tumors of the uterus. Blaustein’s Pathology of the Female Genital Track, R J Kurman, Ed., pp. 599–600, Springer, New York, NY, USA, 5th edition, 2002.
  • 3. Liang YJ, Hao Q, Wu YZ, Wu B. 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. Fertility and Sterility 2010;93(4):1347.e13– 1347.e16.
  • 4. Choudhrie L, Mahajan NN, Solomon MV, Thomas A, Kale AJ, Mahajan K. Ovarian ligament adenomyoma: a case report. Acta Chirurgica Belgica 2007;107(1):84–5.
  • 5. Bulut AS, Sipahi TU. Abscessed uterine and extrauterine adenomyomas with uterus-like features in a 56-year-old woman. Case Rep Obstet Gynecol 2013;2013:238156.
  • 6. Sisodia SM, Khan WA, Goel A. Ovarian ligament adenomyoma: report of a rare entity with review of the literature. J Obstet Gynaecol Res 2012;38(4):724-28.
  • 7. Carinelli S, Motta F, Frontino G, Restelli E, Fedele L. Multiple extrauterine adenomyomas and uterus-like masses: case reports and review of the literature. Fertility and Sterility 2009;91(5):1956.e9–1956.e11.
  • 8. Moghadamfalahi M, Metzinger DS. Multiple extrauterine adenomyomas presenting in upper abdomen and pelvis: a case report and brief review of the literature. Case Rep Obstet Gynecol 2012;565901.
  • 9. Stewart CJ, Leung YC, Mathew R, McCartney AL. Extrauterine adenomyoma with atypical (symplastic) smooth muscle cells: a report of 2 cases. Int J Gynecol Pathol 2009;28(1):23-8.
  • 10. Sadler TW. Langman’s Medical Embryology, 6th edn. Baltimore, MD: Williams and Wilkins, 1990; 270–283.
  • 11. Lauchlan SC. The secondary Mullerian system. Obstet Gynecol Surv 1972;27(3):133–146.
  • 12. Redman R, Wilkinson EJ, Massoll NA. Uterine-like mass with features of an extrauterine adenomyoma presenting 22 years after total abdominal hysterectomy-bilateral salpingo-oophorectomy: a case report and review of the literature. Arch Pathol Lab Med 2005;129(8):1041-3.
  • 13. Torres D, Parker L, Moghadamfalahi M, Sanders MA, Metzinger DS. Clear Cell Adenocarcinoma Arising in an Adenomyoma of the Broad Ligament. Int J Surg Pathol 2014;pii: 1066896914539550.
  • 14. Huanwen W, Hui Z, Xiaowei X, Zhaohui L. Extrauterine adenomyoma of the liver with a focally cellular smooth muscle component occurring in a patient with a history of myomectomy: case report and review of the literature. Diagn Pathol 2013;5;8:131.

Details

Primary Language Turkish
Journal Section Olgu sunumları
Authors

Mine İslimye TAŞKIN
Balıkesir Üniversitesi Tıp Fakültesi, Kadın Hastalıkları Ve Doğum Ana Bilim Dalı, Balıkesir


Ertan ADALİ This is me
Balıkesir Üniversitesi Tıp Fakültesi, Kadın Hastalıkları Ve Doğum Ana Bilim Dalı, Balıkesir


Banu GÜLEÇ BAŞER This is me
Balıkesir Üniversitesi Tıp Fakültesi, Kadın Hastalıkları Ve Doğum Ana Bilim Dalı, Balıkesir


Engin UZGÖREN This is me
Uzgören Patoloji Laboratuvarı

Publication Date August 31, 2015
Application Date December 29, 2014
Acceptance Date March 24, 2015
Published in Issue Year 2015, Volume 4, Issue 2

Cite

APA Taşkın, M. İ. , Adali, E. , Güleç Başer, B. & Uzgören, E. (2015). INTRALİGAMENTER ADENOMYOMA . Balıkesir Sağlık Bilimleri Dergisi , 4 (2) , 107-110 . Retrieved from https://dergipark.org.tr/en/pub/balikesirsbd/issue/38435/452324

Balıkesir Sağlık Bilimleri Dergisi - BAUN Sağ Bil Derg Online-ISSN: 2147-2238 - Copyright holder Balıkesir  Health Sciences Journal-BAUN Health Sci J

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