Sakai Yu, Matsukuma Susumu
Department of Pathology, Japan Self Defense Forces Central Hospital, 1-2-24 Ikejiri, Setagaya-ku, Tokyo 154-000, Japan.
Arch Gynecol Obstet. 2003 Nov;269(1):74-6. doi: 10.1007/s00404-003-0538-1. Epub 2003 Aug 30.
This report describes an unusual case of large cystic uterine adenomyoma in a 48-year-old woman. Under the clinical diagnosis of ovarian cancer, she underwent hysterectomy with bilateral salpingo-oophorectomy. Macroscopically, the large cystic mass containing bloody material was connected with the uterine isthmus and separate from both ovaries. Histological examination showed various epithelial metaplasia lining the cystic surface and revealed focal endometrial stroma in the cystic wall.
Hence, cystic adenomyoma showing exophytic polypoid growth is suggested, although its occurrence is extremely rare. The present case emphasizes that cystic adenomyoma showing extensive metaplastic changes and exophytic growth can occur.
本报告描述了一名48岁女性患巨大囊性子宫腺肌瘤的罕见病例。在临床诊断为卵巢癌的情况下，她接受了子宫切除术及双侧输卵管卵巢切除术。肉眼可见，含有血性物质的巨大囊性肿物与子宫峡部相连，与双侧卵巢分离。组织学检查显示，囊性表面衬覆有各种上皮化生，且在囊壁中发现了局灶性子宫内膜间质。
因此，尽管其发生极为罕见，但提示存在呈外生性息肉样生长的囊性腺肌瘤。本病例强调了可出现具有广泛化生改变和外生性生长的囊性腺肌瘤。
