Precarious preoperative diagnostics and hints for the laparoscopic excision of uterine adenomatoid tumors: two exemplary cases and literature review.
OBJECTIVE
To present two exemplary cases of adenomatoid tumors.


METHODS
Case report.


METHODS
Two laparoscopic centers in Germany.


METHODS
Two women of reproductive age with uterine adenomatoid tumors.


METHODS
Laparoscopic tumor excision.


METHODS
Differential diagnostics of uterine masses.


RESULTS
Intraoperatively, tumor excision is difficult because of the missing capsule that allows simple enucleation of fibroids. Adenomatoid tumors need to be cut out of the myometrium because they are densely adherent, with no clear plane of cleavage. Definite exclusion of a malignant tumor is only possible by histologic workup.


CONCLUSIONS
The above might lead to an intraoperative dilemma in the case of young women because a malignant tumor would implicate a more radical operative strategy. Nevertheless, owing to the benign nature of adenomatoid tumors and the lack of recurrence, simple resection with conservation of the surrounding tissue is the treatment of choice. The proper laparoscopic handling of such cases is illustrated and placed in context within the existing literature.
Department of Gynecology and Obstetrics, University Hospitals Schleswig-Holstein, Kiel, Germany. ibrahim.alkatout@web.de
Ibrahim
I
Alkatout
Bernd
B
Bojahr
Linda
L
Dittmann
Viktoria
V
Warneke
Liselotte
L
Mettler
Walter
W
Jonat
Thoralf
T
Schollmeyer
D018254:Adenomatoid Tumor / Q000175:diagnosis* / Q000601:surgery*; D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy; D011300:Preoperative Care; D014594:Uterine Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D055815:Young Adult