title: Cystic adenomyosis spreading into subserosal-peduncolated myoma: How to explain it?
abstract: BACKGROUND
  Cystic adenomyosis is a rare variant of adenomyosis characterized by well- circumscribed cavitated endometrial gland and stroma located within the myometrium. The cysts usually measure≥1cm in diameter, contain a "chocolate-colored" fluid and do not open into the overlaying endometrium.
  
  
  METHODS
  We present a case of a peduncolated-subserosal cystic adenomyoma, namely cystic adenomyosis, correlated with pelvic MR imaging, laparoscopic surgery technique and histopathology findings.
  
  
  CONCLUSIONS
  In this case, the peculiar growth pattern of cystic adenomyosis in a myoma represents a singular condition rarely reported in the medical literature. We therefore support the pathogenetic theory that the disease might have been caused by direct proliferation of endometrial cells within a peduncolated- subserosal myoma.
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital "Paolo Giaccone", via Alfonzo Giordano 3, 90100, Palermo, Italy.
authors.forename: Gloria
authors.initials: G
authors.lastname: Calagna
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital "Paolo Giaccone", via Alfonzo Giordano 3, 90100, Palermo, Italy.
authors.forename: Gaspare
authors.initials: G
authors.lastname: Cucinella
authors.affiliation: Department of Obstetrics and Gynecology, Guastalla Civil Hospital, AUSL Reggio Emilia, Via dei Donatori di sangue 1, 42016 Reggio Emilia, Italy.
authors.forename: Gabriele
authors.initials: G
authors.lastname: Tonni
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital "Paolo Giaccone", via Alfonzo Giordano 3, 90100, Palermo, Italy.
authors.forename: Roberto De
authors.initials: RD
authors.lastname: Gregorio
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital "Gaetano Martino", Via Consolare Valeria, Gazzi, 98100 Messina, Italy.
authors.forename: Onofrio
authors.initials: O
authors.lastname: Triolo
authors.affiliation: Department of Pathological Anatomy, University Hospital "Paolo Giaccone", V. del Vespro, 90100 Palermo, Italy.
authors.forename: Anna
authors.initials: A
authors.lastname: Martorana
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital "Paolo Giaccone", via Alfonzo Giordano 3, 90100, Palermo, Italy.
authors.forename: Antonino
authors.initials: A
authors.lastname: Perino
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital "Gaetano Martino", Via Consolare Valeria, Gazzi, 98100 Messina, Italy. Electronic address: rgranese@unime.it.
authors.forename: Roberta
authors.initials: R
authors.lastname: Granese
keywords: Adenomyosis; Cystic adenomyosis; Laparoscopy; Myoma