TY - JOUR
TI - Cystic uterine tumors
AU - Protopapas, A.
AU - Milingos, S.
AU - Markaki, S.
AU - Loutradis, D.
AU - Haidopoulos, D.
AU - Sotiropoulou, M.
AU - Antsaklis, A.
JO - Gynecologic and Obstetric Investigation
PY - 2008
VL - 65
TODO - 4
SP - 275-280
PB - 
SN - 0378-7346, 1423-002X
TODO - 10.1159/000113871
TODO - adenomyoma;  adnexa disease;  adult;  article;  clinical article;  clinical feature;  controlled study;  cystadenoma;  diagnostic accuracy;  differential diagnosis;  ectopic pregnancy;  female;  human;  leiomyoma;  ovary disease;  parity;  priority journal;  uterus horn;  uterus tumor, Adenomyoma;  Adult;  Cyst Fluid;  Diagnosis, Differential;  Female;  Humans;  Incidence;  Leiomyoma;  Middle Aged;  Preoperative Care;  Retrospective Studies;  Uterine Neoplasms
TODO - Background/Aims: The differential diagnosis of cystic uterine tumors includes fibroids showing cystic degeneration, cystic adenomyomas, congenital cysts, and developmental anomalies. Methods: The incidence, clinical presentation and accuracy in preoperative diagnosis of cystic uterine tumors were studied in a university hospital population over a 6-year period. Results: 29 cases were included. Of these, 8 corresponded to the diagnosis of a non-fibroid uterine cystic enlargement, and 21 to that of a fibroid with cystic degeneration. Age and parity were significantly lower in patients with non-fibroid cysts. Rates of symptomatic women (60 vs. 55.6%) were similar in both groups. The preoperative diagnosis was accurate in 20/21 (95.2%) cases with a degenerated leiomyoma. On the contrary, in 6/8 (75%) cases with a non-fibroid cystic swelling an erroneous diagnosis of an adnexal or an extrauterine mass was made preoperatively. In this group, histology of the tumor showed a cystic adenomyoma in 3, a congenital cyst in 3, and a blind rudimentary uterine horn in 2 cases, respectively. Conclusion: Uterine cystic tumors are uncommon. Frequently, non-fibroid swellings are erroneously diagnosed as adnexal enlargements and their true origin only becomes evident during surgery. Copyright © 2008 S. Karger AG.
ER -