ABSTRACT The commonest pathologic diagnosis of large prolapsed polyps is leiomyoma. Benign or malignant adenomyomatous polyps follow. Adenomyotic cyst is a rare form of adenomyosis. To our knowledge, a recurrent prolapsed giant uterine polyp comprised of adenomyotic cysts and with different pathogenesis from the original polyp has not been reported in the literature. This case report describes a 29 year old woman with meno/metrrorrhagia, who was found to have a large recurrent uterine polyp prolapsed into the vagina at two and a half years after removal of an initial large uterine polyp. The initial polyp was a large uterine leiomyoma protruding through cervix. The recurrent giant polyp was comprised of adenomyotic cysts. Thus, this case report demonstrates that a prolapsed giant polyp of the uterine corpus can be caused by enlarged adenomyotic cysts inside the polyp. The pathogenesis of a recurrent uterine polyp may be different from that of the initial polyp.
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nullV. Ali, J. Huang, A. Al-Ibraheemi and J. Liu, "Recurrent Prolapsed Giant Uterine Polyp Comprised of Adenomyotic Cysts," International Journal of Clinical Medicine, Vol. 2 No. 4, 2011, pp. 478-480. doi: 10.4236/ijcm.2011.24081.
 D. Bucella, B. Frederic and J. C. Noel, “Giant Cervical Polyp: A Case Report and Review of a Rare Entity,” Archives of Gynecology and Obstetrics, Vol. 278, No. 3, 2008, pp. 295-298.
 V. A. Fitzhugh, G. Murphy and D. S. Heller, “Adenomyomatous Polyp of the Endometrium: A Case Report,” Journal of Reproductive Medicine, Vol. 53, No. 3, 2008, pp. 231-234.
 M. Kamio, S. Taguchi, T. Oki, et al., “Isolated Adenomyotic Cyst Associated with Severe Dysmenorrheal,” Journal of Obstetrics and Gynaecology Research, Vol. 33, No. 3, 2007, pp. 388-391.
 M. Tamura, T. Fukaya, R. Takaya, C. W. Ip and A. Yajima, “Juvenile Adenomyotic Cyst of the Corpus Uteri with Dysmenorrheal,” Tohoku Journal of Experimental Medicine, Vol. 178, No. 3, 1996, pp. 339-344.
 M. L. Ho, V. Ratts and D. Merritt, “Adenomyotic Cyst in an Adolescent Girl,” Journal of Pediatric and Adolescent Gynecology, Vol. 22, No. 3, 2009, pp. e33-e38.
 A. Tahlan, A. Nanda and H. Mohan, “Uterine Adenomyoma: A Clinicopathologic Review of 26 Cases and a Review of the Literature,” International Journal of Gynecological Pathololgy, Vol. 25, No. 4, 2006, p. 361.
 K. Koga, Y. Osuga, H. Hiroi, et al., “A Case of Giant Cystic Adenomyosis,” Fertility and Sterility, Vol. 85, No. 3, 2006, pp. 748-749. doi:10.1016/j.fertnstert.2005.11.028
 S. Keating, N. F. Quenville, G. W. Korn and P. B. Clement, “Ruptured Adenomyotic Cyst of the Uterus: A Case Report,” Archives of Gynecology, Vol. 237, No. 3, 1986, pp. 169-173. doi:10.1007/BF02133861