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Case report: Giant adenomatoid tumour of uterus mimicking like large leiomyoma

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dc.contributor.author Kajendran, J.
dc.contributor.author Gunarathna, S.M.S.G.
dc.contributor.author Wijesinghe, P.S.
dc.contributor.author Hewavisenthi, S.J.
dc.date.accessioned 2019-02-08T06:37:13Z
dc.date.available 2019-02-08T06:37:13Z
dc.date.issued 2016
dc.identifier.citation Sri Lanka Journal of Obstetrics & Gynaecology 2016; Vol. 38 (suppl. 1): p. 51 en_US
dc.identifier.issn 2279-1655
dc.identifier.uri http://repository.kln.ac.lk/handle/123456789/19873
dc.description Poster Presentation Abstract (P21), Sri Lanka College of Obstetricians & Gynaecologists, 1st – 3rd July 2016, Colombo, Sri Lanka en_US
dc.description.abstract INTRODUCTION: Adenomatoid tumours of uterus are rare benign neoplastic disorder of the female genital tract. Even though reported incidence is around 1-2% true incidence is probably more than that as they are not usually symptomatic. Most cases are under 3 cm in diameter, but giant variants up to 15 cm in diameter are also described. Here, we describe a case of giant adenomatoid tumor of the uterus that was managed surgically. CASE HISTORY: A 24-year-old nulliparous woman presented with abdominal distension, regurgitation and early satiety of five months duration. She did not have any menstrual disorders. Abdominal examination revealed a large pelvic tumour corresponding to 20 weeks gravid uterus. Ultrasonography revealed a large uterus with multiple fibroid. She underwent a laparotomy, a subserosal mass arising from the posterior uterine wall near the fundus and extending to the left uterine cornu was found. It was not a well-defined mass and consistency was firm in nature. Tumour was easily enucleated and sent for histology. Uterus was repaired into two layers. Post-operative recovery was uneventful. The histology report revealed as adenomatoid tumor of the uterus. DISCUSSION: Adenomatoid tumour arises from the germinal epithelium of abdomen and thorax. It is a variant of mesothelioma. They can be associated with fibroids and tend to mimic them clinically, making pre-operative diagnosis difficult. Macroscopically, most appear as nodular formations with ill- defined margins and can occur in ovary, mesentery, adrenal glands, and omentum. Rarely do they recur even after conservative surgery and so far no malignant transformation has been reported. Therefore, the recommended treatment is simple excision of the tumor, if possible. en_US
dc.language.iso en en_US
dc.publisher Sri Lanka College of Obstetricians & Gynaecologists en_US
dc.subject Adenomatoid tumour en_US
dc.title Case report: Giant adenomatoid tumour of uterus mimicking like large leiomyoma en_US
dc.type Conference abstract en_US


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    Papers presented at local and international conferences by the Staff of the Faculty of Medicine

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