Clinical Analysis of Three Cases of Cystic Adenomyosis Misdiagnosed as Uterine Leiomyoma

LI You-rong; WANG Zhong-qi

doi:10.3969/j.issn.1002-3429.2018.05.011

Abstract：Objective To explore the causes and preventive measures of cystic adenomyosis misdiagnosed as uterine leiomyoma. Methods Of 52 patients with cystic adenomyosis,three with misdiagnosed uterine leiomyoma were retrospectively analyzed. Results The misdiagnosis rate in this group was 5.77%. One patient was admitted to hospi-tal because of the prolonged menstrual period and increased menstrual flow for more than one month,and one patient was hospitalized because of prolonged menstruation,increased menstrual flow,and menstrual pain for more than three months. The third patient was admitted due to prolonged menstruation, increased menstrual flow, and increased dys-menorrhea for 15 days. All 3 cases were misdiagnosed as uterine leiomyoma. One patient who underwent subtotal lapa-roscopic hysterectomy was diagnosed as having cystic adenomyosis by pathological examination. Due to the failure in the conservative treatment of uterine leiomyoma,cystic adenomyosis was further confirmed in two patients by serum carbo-hydrate antigen 125 as well as by CT and MRI examination,and focal resection were performed. Three patients were discharged after excellent incision healing. At 6-month follow-up after discharge,the prognosis was favorable. Conclu-sion Given no specific clinical manifestations,cystic adenomyosis is easily misdiagnosed. Clinicians should strengthen their vigilance and learning of professional knowledge,expand their thinking in diagnosis,and analyze the patient's con-dition comprehensively,thereby reducing or avoiding misdiagnosis and mistreatment of cystic adenomyosis.