Manivannan Anu, Pandurangi Monna, Vembu Radha, Reddy Sanjeeva
Reproductive Medicine and Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Cureus. 2023 Aug 17;15(8):e43675. doi: 10.7759/cureus.43675. eCollection 2023 Aug.
The epidemiological profile of adenomyosis has drastically changed in recent years due to advancements in imaging techniques. Even though adenomyosis is not uncommon in women of childbearing age, we present an intriguing case of a 30-year-old woman with long-standing progressive dysmenorrhea and infertility who had a posterior wall exophytic adenomyomatous polyp with full-thickness pseudo-invasion out of the uterine serosa into the right ovarian endometriotic cyst, mimicking malignancy. After surgical excision, the patient spontaneously conceived and delivered a live-term baby, soon after which she experienced an early recurrence. Clinicians must be aware of the distinctive features of different subtypes of adenomyosis to plan treatment and avoid invasive surgery.
近年来，由于成像技术的进步，子宫腺肌病的流行病学特征发生了巨大变化。尽管子宫腺肌病在育龄妇女中并不罕见，但我们报告了一例有趣的病例，一名30岁女性，长期进行性痛经且不孕，其子宫后壁有外生性腺肌瘤样息肉，伴有全层假性浸润，从子宫浆膜层穿出进入右侧卵巢子宫内膜异位囊肿，酷似恶性肿瘤。手术切除后，患者自然受孕并足月分娩一活婴，此后不久疾病早期复发。临床医生必须了解子宫腺肌病不同亚型的独特特征，以便制定治疗方案并避免进行侵入性手术。
