Laparoscopic Excision of a Uterine Adenomatoid Tumor and a Coexisting Ovarian Teratoma: A Case Report and Literature Review
| Autor: | Ryoko Matsui, Tomohiko Matsuhashi, Tsutomu Hatori, Seiryu Kamoi, Chikako Hasegawa, Toshiyuki Takeshita |
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| Rok vydání: | 2017 |
| Předmět: |
Laparoscopic surgery
Adenomatoid Tumor Adult medicine.medical_specialty Pathology Adenomatoid tumor medicine.medical_treatment Uterus 03 medical and health sciences 0302 clinical medicine Biopsy medicine Humans Ovarian Teratoma Gynecology Ovarian Neoplasms Microscopy 030219 obstetrics & reproductive medicine Uterine leiomyoma Ovarian cyst medicine.diagnostic_test business.industry Teratoma General Medicine medicine.disease female genital diseases and pregnancy complications medicine.anatomical_structure Treatment Outcome 030220 oncology & carcinogenesis Uterine Neoplasms Female Laparoscopy business |
| Zdroj: | Journal of Nippon Medical School = Nippon Ika Daigaku zasshi. 84(3) |
| ISSN: | 1347-3409 |
| Popis: | Adenomatoid tumors (ATs) are rare, benign neoplasms occurring mainly in reproductive organs such as the uterus, ovaries, fallopian tubes, and testes. Uterine adenomatoid tumors (UATs) are generally incidentally diagnosed during histopathological examination of excisional biopsies performed for other indications, most commonly uterine leiomyomas. We herein present a 38-year-old woman who underwent laparoscopic excision of a uterine leiomyoma and a right ovarian teratoma. Microscopic examination of the excisional biopsy revealed that the enucleated uterine tumor was composed of proliferating glandular tissue covered with single-layered cells that were surrounded by proliferating smooth muscle cells, corresponding exactly to the features of UATs. The excised ovarian cyst was confirmed to be a typical mature cystic teratoma. According to these histopathological findings, the patient was finally diagnosed with a UAT and coexisting teratoma. No recurrence was detected up to 6 months after excision. To the best of our knowledge, this is the eighth case report on laparoscopically enucleated UATs. Although recurrence risk may be low in UATs, further case reports are necessary to elucidate the safety and validity of laparoscopic excision for UATs. |
| Databáze: | OpenAIRE |
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