Fei Huali, Guo Xiaoyan, Li Jin, Jin Xuejing
Department of Reproductive Endocrinology, Hangzhou Women's Hospital, Hangzhou, People's Republic of China.
Department of Gynecology, Hangzhou Women's Hospital, Hangzhou, People's Republic of China.
Int J Womens Health. 2024 Dec 19;16:2203-2208. doi: 10.2147/IJWH.S494745. eCollection 2024.
To report a rare case of multiple subserous uterine adenomyomas diagnosed and treated by laparoscopy.
A premenopausal 55-year-old woman was admitted presenting with bilateral adnexal cysts. Preoperative ultrasound and magnetic resonance imaging both indicated a right ovarian cyst. However, during the laparoscopic surgery, it was identified that the cyst was multiple subserosal uterine cystadenomas, which were located on the posterior wall of the uterus and adjacent to the right ovary. Postoperatively, the pathology revealed that it was a subserosal uterine cystadenoma.
Subserous adenomyomas, a rare subtype of uterine adenomyomas, are commonly reported in the literature as a single adenomyoma. Furthermore, no studies have reported the presence of multiple subserosal adenomyomas. This condition requires attention, and it is essential to differentiate it from ovarian cysts. Subserosal adenomyomas exceeding 8 cm in diameter are rare, with the literature documenting a mere six cases. Larger cysts are associated with a higher likelihood of malignancy. There is currently no effective drug treatment available for this disease. Laparoscopy is an effective method for treating this condition.
报告一例经腹腔镜诊断和治疗的罕见多发性浆膜下子宫腺肌瘤病例。
一名55岁的绝经前女性因双侧附件囊肿入院。术前超声和磁共振成像均提示右侧卵巢囊肿。然而，在腹腔镜手术过程中，发现该囊肿为多发性浆膜下子宫囊腺瘤，位于子宫后壁且与右侧卵巢相邻。术后病理显示为浆膜下子宫囊腺瘤。
浆膜下腺肌瘤是子宫腺肌瘤的一种罕见亚型，文献中通常报道为单个腺肌瘤。此外，尚无研究报道存在多发性浆膜下腺肌瘤。这种情况需要引起注意，必须将其与卵巢囊肿相鉴别。直径超过8 cm的浆膜下腺肌瘤罕见，文献仅记载了6例。较大的囊肿恶变可能性更高。目前该病尚无有效的药物治疗方法。腹腔镜检查是治疗这种疾病的有效方法。
