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KMID : 0358420090520020271
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Korean Journal of Obstetrics and Gynecology
2009 Volume.52 No. 2 p.271 ~ p.277
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Submucosal adenomyotic cyst successfully treated with hysteroscopic surgery: Two case reports
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Kim Nam-Sook
Kim Joo-Myung
Kim Mi-La
Lee Si-Won
Joo Kwan-Young
Kim Hye-Sun
Kim Hy-Sook
Hong Sung-Ran
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Abstract
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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.
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KEYWORD
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Submucosal adenomyotic cyst, Saline infusion sonohysterography, Hysteroscopic resection
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