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Robot-assisted laparoscopic adenomyomectomy of adenomyotic nodule implanted in the uterine endometrium manifesting as endometrial cancer: a case report and literature review

Title
Robot-assisted laparoscopic adenomyomectomy of adenomyotic nodule implanted in the uterine endometrium manifesting as endometrial cancer: a case report and literature review
Authors
Jeon, J. H.Jeong, K.Moon, H. S.
Ewha Authors
문혜성
SCOPUS Author ID
문혜성scopus
Issue Date
2017
Journal Title
EUROPEAN JOURNAL OF GYNAECOLOGICAL ONCOLOGY
ISSN
0392-2936JCR Link
Citation
vol. 38, no. 1, pp. 143 - 146
Keywords
AdenomyomaRobot-assisted laparoscopic surgeryAdenomyomectomy
Publisher
I R O G CANADA, INC
Indexed
SCIE; SCOPUS WOS
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 8x6 cm multicystic, ill-defined mass compacted at the uterine endometrium, the anterior wall of the uterus, and 3x3 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.
DOI
10.12892/ejgo3383.2017
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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