PDF(Pubmed)
Abstract：
UNASSIGNED: Uterine cystic adenomyosis is a very rare type of adenomyosis which can be easily misdiagnosed in clinical practice. In the past, cases have been mostly treated with surgical resection of the uterine lesion.
UNASSIGNED: We report the case of a 25-year-old woman who presented with severe dysmenorrhea for more than 1 year. Physical examination showed that the uterus was enlarged. The transvaginal ultrasound showed a cystic mass of about 5.0 × 3.6 × 3.6 cm in the posterior myometrium, with dense echo spots and no blood flow signal in the cystic part. Magnetic resonance imaging (MRI) indicated hemorrhages within the cystic mass, suggesting the possibility of uterine cystic adenomyosis. The lower abdominal pain and severe dysmenorrhea were not alleviated after a 6-month trial of oral contraceptives. Subsequently, she underwent ultrasound-guided transvaginal aspiration and sclerotherapy for uterine cystic adenomyosis. Approximately 90 mL of chocolate-colored fluid was aspirated from the mass and 20 mL of lauromacrogol was injected in the cyst. The reduction rates of the mass 3 and 12 months after the procedure were 92.01 and 99.10%, respectively. Her dysmenorrhea completely resolved. One and half year after the operation, she had a successful pregnancy and gave birth to a healthy baby through vagina.
UNASSIGNED: The rare entity of uterine cystic adenomyosis can be treated safely and effectively by ultrasound-guided transvaginal aspiration and sclerotherapy.
UNASSIGNED: We report the case of a 25-year-old woman who presented with severe dysmenorrhea for more than 1 year. Physical examination showed that the uterus was enlarged. The transvaginal ultrasound showed a cystic mass of about 5.0 × 3.6 × 3.6 cm in the posterior myometrium, with dense echo spots and no blood flow signal in the cystic part. Magnetic resonance imaging (MRI) indicated hemorrhages within the cystic mass, suggesting the possibility of uterine cystic adenomyosis. The lower abdominal pain and severe dysmenorrhea were not alleviated after a 6-month trial of oral contraceptives. Subsequently, she underwent ultrasound-guided transvaginal aspiration and sclerotherapy for uterine cystic adenomyosis. Approximately 90 mL of chocolate-colored fluid was aspirated from the mass and 20 mL of lauromacrogol was injected in the cyst. The reduction rates of the mass 3 and 12 months after the procedure were 92.01 and 99.10%, respectively. Her dysmenorrhea completely resolved. One and half year after the operation, she had a successful pregnancy and gave birth to a healthy baby through vagina.
UNASSIGNED: The rare entity of uterine cystic adenomyosis can be treated safely and effectively by ultrasound-guided transvaginal aspiration and sclerotherapy.
摘要：
UNASSIGNED：子宫囊性子宫腺肌病是一种非常罕见的子宫腺肌病，在临床上很容易误诊。在过去,病例大多采用手术切除子宫病变。
未经证实：我们报告一例25岁女性，出现严重痛经超过1年。体格检查显示子宫增大。经阴道超声显示子宫后肌层囊性肿块约5.0×3.6×3.6cm，囊性部分有密集的回声点，没有血流信号。磁共振成像（MRI）显示囊性肿块内有出血，提示子宫囊性子宫腺肌病的可能性。口服避孕药6个月后，下腹痛和严重痛经未缓解。随后，她接受了超声引导下经阴道抽吸和硬化治疗子宫囊性子宫腺肌病.从肿块中抽出约90mL巧克力色液体，并在囊肿中注射20mL聚桂醇。手术后3个月和12个月的质量减少率分别为92.01和99.10％，分别。她的痛经完全解决了。手术后一年半，她成功怀孕，并通过阴道生下了一个健康的婴儿。
UNASSIGNED：通过超声引导下经阴道抽吸和硬化治疗，可以安全有效地治疗子宫囊性子宫腺肌病的罕见实体。
未经证实：我们报告一例25岁女性，出现严重痛经超过1年。体格检查显示子宫增大。经阴道超声显示子宫后肌层囊性肿块约5.0×3.6×3.6cm，囊性部分有密集的回声点，没有血流信号。磁共振成像（MRI）显示囊性肿块内有出血，提示子宫囊性子宫腺肌病的可能性。口服避孕药6个月后，下腹痛和严重痛经未缓解。随后，她接受了超声引导下经阴道抽吸和硬化治疗子宫囊性子宫腺肌病.从肿块中抽出约90mL巧克力色液体，并在囊肿中注射20mL聚桂醇。手术后3个月和12个月的质量减少率分别为92.01和99.10％，分别。她的痛经完全解决了。手术后一年半，她成功怀孕，并通过阴道生下了一个健康的婴儿。
UNASSIGNED：通过超声引导下经阴道抽吸和硬化治疗，可以安全有效地治疗子宫囊性子宫腺肌病的罕见实体。
