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KMID : 1201620090020030137
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Journal of Women s Medicine
2009 Volume.2 No. 3 p.137 ~ p.139
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Carcinoma in situ arising from an adenomyotic cyst
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Lee Hye-Sun
Hong Soon-Won
Cho Si-Hyun
Lee Byung-Seok
Jeon Young-Eun
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Abstract
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A large adenomyotic cyst is a rare variant of adenomyosis with a benign prognosis. A 72-year-old woman was referred for
evaluation of a pelvic mass. A pelvic computed tomography (CT) was performed, which showed a large cystic mass measuring about 10 cm in the greatest diameter with a septation in the uterine myometrium. A cystic adenomyosis or cystic changes of the uterine myoma was suspected. A laparoscopic-assisted vaginal hysterectomy was performed. Pathologic evaluation with positive p53 staining led to the diagnosis of carcinoma in situ arising from an adenomyotic cyst. We report a case of carcinoma in situ arising from an adenomyotic cyst. This is the first reported case describing the malignant transformation of an adenomyotic cyst that has been regarded as benign.
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KEYWORD
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Adenomyotic cyst, Carcinoma in situ, p53, Pelvic mass
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