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Uterine adenomyosis which developed from hypoplastic uterus in postmenopausal woman with mayer-rokitansky-kuster-hauser syndrome: a case report.

Chun S, Kim YM, Ji YI - J Menopausal Med (2013)

Bottom Line: She had underwent vaginoplasty via the McIndoe procedure for MRKHS at 15 years of age.Pelvic magnetic resonance imaging showed a 5.4 × 4.8 × 4.7 cm mass suspicious for a uterine myoma.She received total abdominal hysterectomy with bilateral salpingo-oophorectomy, and neither the cervix nor endometrium was found grossly in the surgical specimen.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Inje University Haeundae Paik Hospital, Busan, Korea.

ABSTRACT
Mayer-Rokitansky-Kuster-Hauser syndrome (MRKHS) is characterized by vaginal agenesis with variable Müllerian duct abnormalities. We report here a case of uterine adenomyosis which developed from a hypoplastic uterus in a patient with MRKHS. A 55-year-old postmenopausal woman visited a university hospital for pelvic mass. She had underwent vaginoplasty via the McIndoe procedure for MRKHS at 15 years of age. Pelvic magnetic resonance imaging showed a 5.4 × 4.8 × 4.7 cm mass suspicious for a uterine myoma. She received total abdominal hysterectomy with bilateral salpingo-oophorectomy, and neither the cervix nor endometrium was found grossly in the surgical specimen. The final histologic diagnosis was uterine adenomyosis.

No MeSH data available.


Related in: MedlinePlus

Gross findings of the specimen. Multinodular uterus shows adenomyoma or myoma like features and the atrophic endometrum as well as the aplastic uterine cervix and vagina. White arrow points to the atrophic ovary and salpinx.
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Figure 3: Gross findings of the specimen. Multinodular uterus shows adenomyoma or myoma like features and the atrophic endometrum as well as the aplastic uterine cervix and vagina. White arrow points to the atrophic ovary and salpinx.

Mentions: The multinodular and abnormal shaped uterus was 7.0 × 6.2 × 4.5 cm in size (Fig. 3A), and the endometrium, cervix and vagina were not clearly identified in the cut surface (Fig. 3B). The ovary and salpinx were grossly normal shaped but atrophied (Fig. 3C, white arrows). Microscopically, the whole uterus showed adenomyosis features, such as multifocal atrophic endometrial glands and stroma in the background of proliferating smooth muscle cell bundles (Fig. 4A). The atrophic endometrium (< 1 mm thickness) was seen rarely in the lower segment of the uterus. (Fig. 4B). However, there is no evidence of a cervix or vagina in the lower segment of the uterus. No abnormalities were recognized in either the ovaries or the salpinges.


Uterine adenomyosis which developed from hypoplastic uterus in postmenopausal woman with mayer-rokitansky-kuster-hauser syndrome: a case report.

Chun S, Kim YM, Ji YI - J Menopausal Med (2013)

Gross findings of the specimen. Multinodular uterus shows adenomyoma or myoma like features and the atrophic endometrum as well as the aplastic uterine cervix and vagina. White arrow points to the atrophic ovary and salpinx.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4217560&req=5

Figure 3: Gross findings of the specimen. Multinodular uterus shows adenomyoma or myoma like features and the atrophic endometrum as well as the aplastic uterine cervix and vagina. White arrow points to the atrophic ovary and salpinx.
Mentions: The multinodular and abnormal shaped uterus was 7.0 × 6.2 × 4.5 cm in size (Fig. 3A), and the endometrium, cervix and vagina were not clearly identified in the cut surface (Fig. 3B). The ovary and salpinx were grossly normal shaped but atrophied (Fig. 3C, white arrows). Microscopically, the whole uterus showed adenomyosis features, such as multifocal atrophic endometrial glands and stroma in the background of proliferating smooth muscle cell bundles (Fig. 4A). The atrophic endometrium (< 1 mm thickness) was seen rarely in the lower segment of the uterus. (Fig. 4B). However, there is no evidence of a cervix or vagina in the lower segment of the uterus. No abnormalities were recognized in either the ovaries or the salpinges.

Bottom Line: She had underwent vaginoplasty via the McIndoe procedure for MRKHS at 15 years of age.Pelvic magnetic resonance imaging showed a 5.4 × 4.8 × 4.7 cm mass suspicious for a uterine myoma.She received total abdominal hysterectomy with bilateral salpingo-oophorectomy, and neither the cervix nor endometrium was found grossly in the surgical specimen.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Inje University Haeundae Paik Hospital, Busan, Korea.

ABSTRACT
Mayer-Rokitansky-Kuster-Hauser syndrome (MRKHS) is characterized by vaginal agenesis with variable Müllerian duct abnormalities. We report here a case of uterine adenomyosis which developed from a hypoplastic uterus in a patient with MRKHS. A 55-year-old postmenopausal woman visited a university hospital for pelvic mass. She had underwent vaginoplasty via the McIndoe procedure for MRKHS at 15 years of age. Pelvic magnetic resonance imaging showed a 5.4 × 4.8 × 4.7 cm mass suspicious for a uterine myoma. She received total abdominal hysterectomy with bilateral salpingo-oophorectomy, and neither the cervix nor endometrium was found grossly in the surgical specimen. The final histologic diagnosis was uterine adenomyosis.

No MeSH data available.


Related in: MedlinePlus