腹腔鏡下に摘出した子宮頸部の嚢胞性腺筋症の1例

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  We report a rare case of cervical cystic adenomyoma. It is an extremely rare disesase. A 33-year-old female (gravia 0, para 0) presented with progressive dysmenorrhea. She underwent ovarian cystectomy twice for endmetriosis before. Dysmenorrhea was so severe that medical therapy is only marginally effective. Transvaginal ultrasonography and MRI showed a 2 cm cervical cyst that is located within the uterine muscular. It contained blood within the cystic leigion. Under a diagnosis of cervical cystic adenomyoma, laparoscopic excicion was performed. Pathological findings showed the endometrial glands and stroma within myometrial nodule. Symptom improved dramatically after laparoscopic surgery. Cervical cystic adenomyoma is so rare that we did not think that it was cystic adenomyoma initially. We thought history of surgery is involved in cyst formation. Strong clinical symptom appear in cervical cystic adenomyoma as same as that in uterine corpus.