자궁 외 샘근종의 특징을 보이는 자궁 유사 종양:1예 보고 및 문헌 고찰
Uterus-Like Mass with Features of an Extrauterine Adenomyoma: A Case Report and Literature Review
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Uterus-like masses, such as cavities lined by endometrium-type mucosa surrounded by bundles of smooth muscle cells, may strikingly resemble the uterus. In this report, we describe a case of a uterus-like mass with features of an extrauterine adenomyoma in a 42-year-old woman. The first uterine-like mass was documented by Cozzutto in 1981 and to date, 13 such cases have been reported. Three theories have been offered to explain their etiology: 1) the uterine/Mullerian duct fusion defect theory, which is based on a developmental abnormality occurring during the formation of the female genital tract, 2) the metaplastic theory, which is based on the fact that a uterus-like mass may arise from subperitoneal mesenchymal cells that retain the ability to duplicate Mullerian duct structures, and 3) the heterotopia theory. We consider that the metaplastic theory best fits with our observations in the present case as both glandular and stromal smooth muscle cells proliferated as a true neoplasm rather than as an anomaly.
Abstract
Uterus-like masses, such as cavities lined by endometrium-type mucosa surrounded by bundles of smooth muscle cells, may strikingly resemble the uterus. In this report, we describe a case of a uterus-like mass with features of an extrauterine adenomyoma in a 42-year-old woman. The first uterine-like mass was documented by Cozzutto in 1981 and to date, 13 such cases have been reported. Three theories have been offered to explain their etiology: 1) the uterine/Mullerian duct fusion defect theory, which is based on a developmental abnormality occurring during the formation of the female genital tract, 2) the metaplastic theory, which is based on the fact that a uterus-like mass may arise from subperitoneal mesenchymal cells that retain the ability to duplicate Mullerian duct structures, and 3) the heterotopia theory. We consider that the metaplastic theory best fits with our observations in the present case as both glandular and stromal smooth muscle cells proliferated as a true neoplasm rather than as an anomaly.
참고문헌 (15)
- "Uterus-like mass replacing ovary Report of a new entity", 105, pp.508~11 (1981)
- "Uterus like mass of the ovary endomyometriosis orcongenital malformation? A case with a discussion of histogenesis", lueva(-flores e), pp.361~4, Rincon-Taracena R
- "Uterus like massof the small intestine", 14, pp.390~4 (1990)
- "Uterus-like mass of the ovary associatedwith endometrioid carcinoma", 18, pp.549~51 (1991)
- "Uterus-like mass of the conus medullariswith associated tethered cord", 33, pp.329~31 (1993)
- "Uterus-like mass of the ovary", 14, pp.209~11 (1994)
- "Uterus-likemass arising in the broad ligament a metaplasia or mullerian ductanomaly?", 16, pp.279~281 (1997)
- "Uterus like masses of the ovary associatedwith breast cancer and raised serum CA 125", 22, pp.333~337 (1998)
- "Uterus-like mass of the small bowel mesentery", 50, pp.76~80 (2000)
- "uterine-like mass with featuresof an extrauterine adenomyoma presenting 22 years after totalabdominal hystrectomy-bilateral salpingo-oophorectomy", 129, pp.1041~1043 (2005)
- "Uterus-like ovarian mass presenting near menarche", 24, pp.382~384 (2005)
- , 1982, 364~
- "The secondaryl Mullerian system", 27, pp.133~46 (1972)
- "Smooth-muscle differentiation in genital tract disorder", 105, pp.505~7 (1981)
- "Endomyometriosis:possibleassociation with leiomyomatosis disseminata and endometriosis", 105, pp.556~7 (1981)