IJCM  Vol.2 No.4 , September 2011
Recurrent Prolapsed Giant Uterine Polyp Comprised of Adenomyotic Cysts
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.
Cite this paper: 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.

[1]   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.

[2]   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.

[3]   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. doi:10.1111/j.1447-0756.2007.00543.x

[4]   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. doi:10.1620/tjem.178.339

[5]   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. doi:10.1016/j.jpag.2008.05.011

[6]   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.

[7]   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

[8]   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