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Cystic Adenomyosis
Maryam Rezvani, MD; Jeffrey Dee Olpin, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Definitions

              • Extensive hemorrhage within ectopic endometrial glands of focal or diffuse adenomyosis

            IMAGING

            • General Features

              • CT Findings

                • MR Findings

                  • Ultrasonographic Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Brosens I et al: Uterine cystic adenomyosis: a disease of younger women. J Pediatr Adolesc Gynecol. 28(6):420-6, 2015
                                          2. Jain N et al: Cystic adenomyoma simulates uterine malformation: a diagnostic dilemma: case report of two unusual cases. J Hum Reprod Sci. 5(3):285-8, 2012
                                          3. Takeuchi M et al: Adenomyosis: usual and unusual imaging manifestations, pitfalls, and problem-solving MR imaging techniques. Radiographics. 31(1):99-115, 2011
                                          4. Moyle PL et al: Nonovarian cystic lesions of the pelvis. Radiographics. 30(4):921-38, 2010
                                          5. Ho ML et al: Adenomyotic cyst of the uterus in an adolescent. Pediatr Radiol. 38(11):1239-42, 2008
                                          6. Koga K et al: Images in reproductive medicine. A case of giant cystic adenomyosis. Fertil Steril. 85(3):748-9, 2006
                                          7. Ryo E et al: Radiofrequency ablation for cystic adenomyosis: a case report. J Reprod Med. 51(5):427-30, 2006
                                          8. Imaoka I et al: Cystic adenomyosis with florid glandular differentiation mimicking ovarian malignancy. Br J Radiol. 78(930):558-61, 2005
                                          9. Tamai K et al: MR imaging findings of adenomyosis: correlation with histopathologic features and diagnostic pitfalls. Radiographics. 25(1):21-40, 2005
                                          10. Sakai Y et al: Large cystic uterine adenomyoma showing marked epithelial metaplasia and exophytic polypoid growth. Arch Gynecol Obstet. 269(1):74-6, 2003
                                          11. Reinhold C et al: Uterine adenomyosis: endovaginal US and MR imaging features with histopathologic correlation. Radiographics. 19 Spec No:S147-60, 1999
                                          12. Kataoka ML et al: MRI of adenomyotic cyst of the uterus. J Comput Assist Tomogr. 22(4):555-9, 1998
                                          13. Troiano RN et al: Cystic adenomyosis of the uterus: MRI. J Magn Reson Imaging. 8(6):1198-202, 1998
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Pathology

                                                  • Clinical Issues

                                                    TERMINOLOGY

                                                    • Definitions

                                                      • Extensive hemorrhage within ectopic endometrial glands of focal or diffuse adenomyosis

                                                    IMAGING

                                                    • General Features

                                                      • CT Findings

                                                        • MR Findings

                                                          • Ultrasonographic Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Gross Pathologic & Surgical Features

                                                                    • Microscopic Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Brosens I et al: Uterine cystic adenomyosis: a disease of younger women. J Pediatr Adolesc Gynecol. 28(6):420-6, 2015
                                                                                  2. Jain N et al: Cystic adenomyoma simulates uterine malformation: a diagnostic dilemma: case report of two unusual cases. J Hum Reprod Sci. 5(3):285-8, 2012
                                                                                  3. Takeuchi M et al: Adenomyosis: usual and unusual imaging manifestations, pitfalls, and problem-solving MR imaging techniques. Radiographics. 31(1):99-115, 2011
                                                                                  4. Moyle PL et al: Nonovarian cystic lesions of the pelvis. Radiographics. 30(4):921-38, 2010
                                                                                  5. Ho ML et al: Adenomyotic cyst of the uterus in an adolescent. Pediatr Radiol. 38(11):1239-42, 2008
                                                                                  6. Koga K et al: Images in reproductive medicine. A case of giant cystic adenomyosis. Fertil Steril. 85(3):748-9, 2006
                                                                                  7. Ryo E et al: Radiofrequency ablation for cystic adenomyosis: a case report. J Reprod Med. 51(5):427-30, 2006
                                                                                  8. Imaoka I et al: Cystic adenomyosis with florid glandular differentiation mimicking ovarian malignancy. Br J Radiol. 78(930):558-61, 2005
                                                                                  9. Tamai K et al: MR imaging findings of adenomyosis: correlation with histopathologic features and diagnostic pitfalls. Radiographics. 25(1):21-40, 2005
                                                                                  10. Sakai Y et al: Large cystic uterine adenomyoma showing marked epithelial metaplasia and exophytic polypoid growth. Arch Gynecol Obstet. 269(1):74-6, 2003
                                                                                  11. Reinhold C et al: Uterine adenomyosis: endovaginal US and MR imaging features with histopathologic correlation. Radiographics. 19 Spec No:S147-60, 1999
                                                                                  12. Kataoka ML et al: MRI of adenomyotic cyst of the uterus. J Comput Assist Tomogr. 22(4):555-9, 1998
                                                                                  13. Troiano RN et al: Cystic adenomyosis of the uterus: MRI. J Magn Reson Imaging. 8(6):1198-202, 1998