Juvenile cystic adenomyoma in a 19-year-old woman: a case report with a proposal for new diagnostic criteria

J Laparoendosc Adv Surg Tech A. 2011 Oct;21(8):771-4. doi: 10.1089/lap.2011.0014. Epub 2011 May 11.


We report a case of a cystic adenomyoma in a 19-year-old nullipara who presented with severe dysmenorrhea and pelvic pain. Preoperative magnetic resonance imaging showed a 3-cm well-circumscribed mass with a 2.1-cm cystic cavity in the myometrium of the left fundus. The tumor, including the cyst, was excised via laparoscopy with a part of the normal myometrium using a modified myomectomy method. On histologic examination, the cystic cavity was lined by endometrial tissue composed of endometrial epithelium and stroma. After 12 months of postoperative follow-up, the patient had significant improvement of dysmenorrhea.

Publication types

  • Case Reports

MeSH terms

  • Adenomyoma / diagnosis*
  • Adenomyoma / surgery
  • Cysts / diagnosis
  • Dysmenorrhea / etiology
  • Female
  • Humans
  • Laparoscopy
  • Magnetic Resonance Imaging
  • Uterine Neoplasms / diagnosis*
  • Uterine Neoplasms / surgery
  • Young Adult