Abstract：
An accessory cavitated uterine mass (or malformation) (ACUM) is an isolated cystic uterine lesion located at the lateral aspect of the myometrium just below the insertion of the round ligament. Often the source of severe dysmenorrhea and pelvic pain, this condition is classified as a Müllerian abnormality. Understanding ACUMs, recognizing their clinical appearance, diagnosing an ACUM with ultrasound or magnetic resonance imaging, and advising patients about conservative, medicinal, and surgical treatment options is important to all clinicians. Although ACUM primarily presents with severe dysmenorrhea but can have other clinical symptoms, we have provided a few sample cases to help clinicians prepare for ACUM encounters. We also reviewed the other published literature available on ACUM regarding clinical presentation, etiology, and management. Last but not least, based on our research and the work of others, we offer a set of characteristics that will be useful in diagnosing and treating ACUM. ACUM diagnosis is crucial in clinically suspicious circumstances, and early treatment significantly enhances patients\' quality of life.
摘要：
附件空化子宫肿块或畸形（ACUM）是一种孤立的囊性子宫病变，位于子宫肌层外侧，正好位于圆形韧带插入下方。通常是严重痛经和盆腔疼痛的根源，这种情况被归类为Mullerian异常。了解ACUM，识别他们的临床表现，用超声或MRI诊断ACUM，并建议患者保守，药用,和手术治疗选择。虽然ACUM主要提供严重的痛经，但可以有其他临床症状。我们提供了一些样本案例，以帮助临床医生为ACUM遇到做准备。我们还回顾了ACUM上发表的关于临床表现的其他文献，病因学,和管理。最后但并非最不重要的,根据我们的研究和他人的工作，我们提供了一组对诊断和治疗ACUM有用的特征.ACUM诊断在临床可疑情况下至关重要，早期治疗显著提高了患者的生活质量。
