IMR Press / EJGO / Volume 38 / Issue 1 / DOI: 10.12892/ejgo3383.2017
Open Access Case Report
Robot-assisted laparoscopic adenomyomectomy of adenomyotic nodule implanted in the uterine endometrium manifesting as endometrial cancer: a case report and literature review
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1 Department of Obstetrics and Gynecology, School of Medicine, Ewha Womans University, Robot Surgery Center, Ewha Womans University Medical Center, Seoul, South Korea
Eur. J. Gynaecol. Oncol. 2017 , 38(1), 143–146; https://doi.org/10.12892/ejgo3383.2017
Published: 10 February 2017
Abstract

Thickened uterine endometrium with abnormal uterine bleeding highly suggests endometrial hyperplasia or endometrial carcinoma. A case of 35-year-old nulliparous woman came to our department with endometrial mass manifesting as endometrial cancer. Transrectal ultrasonography and magnetic resonance imaging (MRI) showed an 8×6 cm multicystic, ill-defined mass compacted at the uterine endometrium, the anterior wall of the uterus, and 3×3 cm heterogenous mass at the left adnexa. The edometrial mass showed multiple septations with enhancement and low-signal intensity on T2-weighted images. After endometrial biopsy was done and simple hyperplasia without atypia was observed at the histopathologic finding, the patient underwent robot-assisted laparoscopy and diagnosed as adenomyoma at the frozen pathology. After adenomyomectomy, permanent pathologic analysis revealed the same result and she recovered without any complications and responded well to gonadotropin-releasing hormone (GnRH) agonist therapy.
Keywords
Adenomyoma
Robot-assisted laparoscopic surgery
Adenomyomectomy
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