Abscess in adenomyosis mimicking a malignancy in a 54-year-old woman

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dc.authorscopusid6602664090
dc.authorscopusid35588071900
dc.authorscopusid7006266098
dc.authorscopusid6507099873
dc.authorscopusid58494711600
dc.authorscopusid6603116813
dc.contributor.authorErguvan R.
dc.contributor.authorMeydanli M.M.
dc.contributor.authorAlkan A.
dc.contributor.authorEdali M.N.
dc.contributor.authorGokce H.
dc.contributor.authorKafkasli A.
dc.date.accessioned2024-08-04T20:00:45Z
dc.date.available2024-08-04T20:00:45Z
dc.date.issued2003
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground: Although there are a few reports describing abscess formation in endometriotic foci no report of abscess formation arising de novo within adenomyosis appears in the literature. Preoperative diagnosis of adenomyosis is frequently difficult because of non-specific signs and symptoms. Synchronous pelvic pathologies such as leiomyoma, endometrial polyp, endometrial hyperplasia, as well as endometrial cancer may cause differential diagnostic problems. Case: A 54-year-old postmenopausal woman complaining of inguinal pain, nightsweats and hot flashes is presented. Radiologic examinations of the pelvis revealed a 95 x 85 mm leiomyoma-like lesion including a 53 x 43 mm cystic space and 9 x 6 mm papillary formation within the uterus raising clinical suspicion of malignancy. A total abdominal hysterectomy and bilateral salpingo-oophorectomy were performed accompanied by a frozen section diagnosis. The frozen section revealed an abscess formation arising in a focus of adenomyosis. The postoperative period of the patient was uneventful. Conclusion: The present case, to our knowledge, is the first report representing abscess formation in adenomyosis. Abscess arising within adenomyosis can strongly raise the suspicion of endometrial cancer, particularly if the patient is postmenopausal. If endometrial cancer cannot be ruled out with definitive histopathological diagnosis in the preoperative period, a frozen section becomes mandatory during surgical intervention.en_US
dc.identifier.doi10.1155/S1064744903000085
dc.identifier.endpage64en_US
dc.identifier.issn1064-7449
dc.identifier.issue1en_US
dc.identifier.pmid12839634en_US
dc.identifier.scopus2-s2.0-0038243991en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage59en_US
dc.identifier.urihttps://doi.org/10.1155/S1064744903000085
dc.identifier.urihttps://hdl.handle.net/11616/90980
dc.identifier.volume11en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.relation.ispartofInfectious Disease in Obstetrics and Gynecologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectFrozen sectionen_US
dc.subjectSurgeryen_US
dc.subjectTransvaginal ultrasonographyen_US
dc.subjectUterusen_US
dc.titleAbscess in adenomyosis mimicking a malignancy in a 54-year-old womanen_US
dc.typeArticleen_US

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