Submucosal adenomyotic cyst successfully treated with hysteroscopic surgery: Two case reports.

Kim, Nam Sook; Kim, Joo Myung; Kim, Mi La; Lee, Si Won; Joo, Kwan Young; Kim, Hye Sun; Kim, Hy Sook; Hong, Sung Ran

Case Report

Korean Journal of Obstetrics & Gynecology 2009;52(2):271-277.
Published online February 1, 2009.

Submucosal adenomyotic cyst successfully treated with hysteroscopic surgery: Two case reports.

Nam Sook Kim, Joo Myung Kim, Mi La Kim, Si Won Lee, Kwan Young Joo, Hye Sun Kim, Hy Sook Kim, Sung Ran Hong

¹Department of Obstetrics and Gynecology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine, Seoul, Korea. mila76@naver.com
²Department of Pathology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine, Seoul, Korea.

Abstract

Two women presented with history of vaginal bleeding and abnormal transvaginal ultrasound findings. Saline infusion sonohysterography was done for preoperative evaluation and this imaging study revealed centrally located uterine mass with internal cystic portion. Our initial impression was submucosal myoma with cystic degeneration and hysteroscopic removal of the mass was performed. During the procedure, dark brownish cystic fluid was drained. The excised submucosal mass was pathologically diagnosed as adenomyosis and clinically as submucosal adenomyotic cyst. Submucosal adenomyotic cyst should be part of the differential diagnosis of submucosal uterine masses with cystic portion. We report two cases of submucosal adenomyotic cyst successfully treated with hysteroscopic resection and brief review on this topic.

Key Words: Submucosal adenomyotic cyst, Saline infusion sonohysterography, Hysteroscopic resection