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Precarious preoperative diagnostics and hints for the laparoscopic excision of uterine adenomatoid tumors: two exemplary cases and literature review.

Abstract：

OBJECTIVE:To present two exemplary cases of adenomatoid tumors. DESIGN:Case report. SETTING:Two laparoscopic centers in Germany. PATIENT(S):Two women of reproductive age with uterine adenomatoid tumors. INTERVENTION(S):Laparoscopic tumor excision. MAIN OUTCOME MEASURE(S):Differential diagnostics of uterine masses. RESULT(S):Intraoperatively, tumor excision is difficult because of the missing capsule that allows simple enucleation of fibroids. Adenomatoid tumors need to be cut out of the myometrium because they are densely adherent, with no clear plane of cleavage. Definite exclusion of a malignant tumor is only possible by histologic workup. CONCLUSION(S):The above might lead to an intraoperative dilemma in the case of young women because a malignant tumor would implicate a more radical operative strategy. Nevertheless, owing to the benign nature of adenomatoid tumors and the lack of recurrence, simple resection with conservation of the surrounding tissue is the treatment of choice. The proper laparoscopic handling of such cases is illustrated and placed in context within the existing literature.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Alkatout I,Bojahr B,Dittmann L,Warneke V,Mettler L,Jonat W,Schollmeyer T

doi

10.1016/j.fertnstert.2010.10.017

subject

Has Abstract

pub_date

2011-03-01 00:00:00

pages

1119.e5-8

issue

3

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(10)02693-2

journal_volume

95

pub_type

杂志文章,评审

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