title: Laparoscopic management of juvenile cystic adenomyoma of the uterus: report of two cases and review of the literature.
abstract: Two cases of juvenile cystic adenomyoma of the uterus treated by laparoscopic surgery are reported. Preoperative diagnostic imaging procedures located a cystic structure within the uterine nodule of each of these young women with severe dysmenorrhea. Under a diagnosis of cystic adenomyoma, laparoscopic excision was performed. Histopathologic examination of the resected tissues showed the presence of an endometrial structure composed of epithelium and stroma within myometrial nodule. In both of these patients, dysmenorrhea disappeared postoperatively.
authors.affiliation: Department of Obstetrics and Gynecology, Gifu Prefectural Tajimi Hospital, Tajimi, Gifu, Japan. gyendoscopy@gmail.com
authors.forename: Akihiro
authors.initials: A
authors.lastname: Takeda
authors.forename: Kotaro
authors.initials: K
authors.lastname: Sakai
authors.forename: Takashi
authors.initials: T
authors.lastname: Mitsui
authors.forename: Hiromi
authors.initials: H
authors.lastname: Nakamura
mesh_terms: D018194:Adenomyoma / Q000150:complications / Q000601:surgery*; D000328:Adult; D004412:Dysmenorrhea / Q000209:etiology; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D010535:Laparoscopy; D014594:Uterine Neoplasms / Q000150:complications / Q000601:surgery*