We diagnosed a 2-cm, large cystic adenomyoma after complete abortion without transcervical curettage, based on symptoms of dysmenorrhea, time of onset, and sonographic findings. The cystic adenomyoma was treated successfully with laparoscopic mass excision.
Adenomyoma* ; Curettage* ; Dysmenorrhea ; Female ; Laparoscopy ; Ultrasonography ; Uterus*

No abstract available.
Adenomyoma* ; Humans ; Infant* ; Intestine, Small* ; Intussusception*

Adenomyoma is a benign tumor composed of smooth muscle and benign endometrium. These tumors typically originate within the uterus. An extrauterine adenomyoma is a rare entity. Cystic degeneration of adenomyoma is also very rare case. We report a case of huge extrauterine endometrioid-type adenomyoma with cystic change with brief review of literature.
Adenomyoma ; Endometrium ; Female ; Muscle, Smooth ; Uterus

The clinical and pathological features of an apparently unique case of an adenomyoitc cyst of the uterus are reported. The cyst was located within the myometrium of a 30-year-old woman suffering from vaginal bleeding for 6 months. Saline infusion sonohysterography revealed uterine cyst. After excision of the cyst, patient's symptoms improved. On histological examination, the cyst most closely resembled an adenomyotic cyst.
Adenomyoma* ; Adult ; Animals ; Female ; Humans ; Mice ; Myometrium ; Uterine Hemorrhage ; Uterus

Adenomyosis is a common disease of middle-aged women and adenomyoma is a variety of adenomyosis that formed localized tumor. Cystic degeneration of an adenomyoma is a rare clinical manifestation. A 30-year-old parous woman suffered from severe dysmenorrhea and menorrhagia for about 5 months, was operated under the impression of endometriosis of the pelvis. Following the operation, cystic degeneration of an adenomyoma was found incidentally. The authors experienced a case of adenomyosis that formed cystic tumor of uterus and presented with a pertinent literatures.
Adenomyoma ; Adenomyosis* ; Adult ; Dysmenorrhea ; Endometriosis ; Female ; Humans ; Menorrhagia ; Pelvis ; Uterus

Adenomyoma is a nonneoplastic lesion that can be found anywhere in the gastrointestinal tract, but it's rarely found in the ampulla of Vater. To the best of our knowledge, it is a benign lesion, but most cases are misdiagnosed as carcinoma or adenoma by a preoperative endoscopic or radiologic procedure, and this leads to unnecessarily extensive surgical resection. We report here on a case of ampulla of Vater adenomyoma that resulted in biliary and pancreatic duct dilatation. The tumor was diagnosed by endoscopic papillectomy.
Adenoma ; Adenomyoma ; Ampulla of Vater ; Dilatation ; Gastrointestinal Tract ; Pancreatic Ducts

Adenomyoma is a non-neoplastic tumor-like lesion that frequently occurs in the gallbladder (GB), but it is very rarely seen in the Vaterian ampulla. The pathological findings of adenomyoma are characterized by the lobule containing hyperplasia of the smooth muscle cells and ductal or glandular structures. This tumor is clearly a benign disease. However, when it develops in the Vaterian ampulla, it may be mistaken for a periampullary malignancy and could be treated with extensive surgery such as pancreaticoduodenectomy (PD). We have experienced a case of adenomyoma of the Vaterian ampulla. The patient was a 69-year-old male who developed mild hyperbilirubinemia as an initial symptom. The preoperative radiologic and endoscopic findings suggested a periampullary mass, but we could not differentiate whether it was benign or malignant. PD was performed and adenomyoma was diagnosed by pathological examination after the surgery.
Adenomyoma* ; Aged ; Ampulla of Vater ; Gallbladder ; Humans ; Hyperbilirubinemia ; Hyperplasia ; Male ; Myocytes, Smooth Muscle ; Pancreaticoduodenectomy

PURPOSE: A laparoscopic cholecystectomy is now the gold standard for the treatment of gallstone disease. While the widespread use of ultrasonography has increased the frequency of the diagnosis of polypoid lesions of the gallbladder (PLG), no optimal strategies for evaluating and treating these lesions have been established. The aims of this study were to identify the risk factors for malignancy, and evaluate the usefulness of laparoscopic cholecystectomy for PLG. METHODS: The clinical and histopathological data from ninety PLG patients, who received a laparoscopic cholecystectomy, between January 1998 and December 2005, were retrospectively analyzed. Data were evaluated using a multiple logistical regression analysis. RESULTS: There were 82 benign PLG, including 38 cholesterol polyps, 22 adenomas, 18 hyperplastic polyps and 4 adenomyomas, and 8 malignant PLG. The average age of the patients with malignant PLG was significantly older than that of those with benign PLG (P=0.001). The average malignant PLG diameter was significantly larger than that of the benign PLG (P=0.000). The malignant PLG were mostly a single lesion; whereas, half of the benign PLG were multiple lesions. In the multiple logistical regression analysis, polyp sizes greater than 1.5 cm and an age over 50 years were the two most important factors for predicting malignancy of PLG. Seven of eight patients with malignant PLG are still alive at a mean of 43.8 months after surgery, and without any recurrence. CONCLUSION: The risk factors for malignancy were found to be the polyp size and patient age. A laparoscopic cholecystectomy can be considered an adequate treatment for patients with a stage I gallbladder carcinoma.
Adenoma ; Adenomyoma ; Cholecystectomy, Laparoscopic* ; Cholesterol ; Diagnosis ; Gallbladder* ; Gallstones ; Humans ; Polyps ; Recurrence ; Retrospective Studies ; Risk Factors ; Ultrasonography

Adenomyoma, a benign tumor generally considered to be a form of pancreatic heterotopia, is composed of smooth muscle and undifferentiated columnar epithelium. A 62-year-old female was admitted with melena. Small bowel enteroscopy using a pediatric colonoscope revealed a small sized nodular mass with active bleeding in the proximal jejunum. After a endoscopic resection of the tumor, the bleeding ceased. Histologic examination disclosed an adenomyoma. We report a case of the adenom-yoma causing jejunal bleeding with a review of the literature.
Adenomyoma* ; Colonoscopes ; Epithelium ; Female ; Hemorrhage* ; Humans ; Jejunum ; Melena ; Middle Aged ; Muscle, Smooth

No abstract available.
Adenomyoma/*pathology ; Ampulla of Vater/*pathology ; Common Bile Duct Neoplasms/*pathology ; Female ; Humans ; Male