Chun Sang Sik, Hong Dae Gy, Seong Won Jun, Choi Min Hye, Lee Tak Hoo
Department of Obstetrics and Gynecology, Kyungpook National University Hospital, Daegu, Republic of Korea.
J Laparoendosc Adv Surg Tech A. 2011 Oct;21(8):771-4. doi: 10.1089/lap.2011.0014. Epub 2011 May 11.
We report a case of a cystic adenomyoma in a 19-year-old nullipara who presented with severe dysmenorrhea and pelvic pain. Preoperative magnetic resonance imaging showed a 3-cm well-circumscribed mass with a 2.1-cm cystic cavity in the myometrium of the left fundus. The tumor, including the cyst, was excised via laparoscopy with a part of the normal myometrium using a modified myomectomy method. On histologic examination, the cystic cavity was lined by endometrial tissue composed of endometrial epithelium and stroma. After 12 months of postoperative follow-up, the patient had significant improvement of dysmenorrhea.
我们报告一例19岁未育女性的囊性腺肌瘤病例，该患者表现为严重痛经和盆腔疼痛。术前磁共振成像显示，在左宫底肌层有一个3厘米边界清晰的肿块，伴有一个2.1厘米的囊性腔。采用改良子宫肌瘤切除术方法，通过腹腔镜切除肿瘤（包括囊肿）及部分正常肌层。组织学检查显示，囊性腔内衬有由子宫内膜上皮和间质组成的子宫内膜组织。术后随访12个月，患者痛经症状明显改善。
