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Ovarian ligament adenomyoma: a case report
L Choudhrie1, N N Mahajan, M V Solomon
1Padhar Hospital, Padhar, District - Betul, Madhya Pradesh, India.
Acta Chirurgica Belgica
|April 5, 2007
Summary
This study reports a rare case of extra-uterine adenomyoma in the ovarian ligament. This benign tumor, typically found in the uterus, was an incidental finding in a postmenopausal woman.
Area of Science:
- Gynecologic pathology
- Reproductive medicine
- Surgical case reports
Background:
- Adenomyoma is a benign uterine tumor comprising smooth muscle and endometrial tissue.
- Extra-uterine adenomyomas are exceptionally rare findings.
- This case involves a postmenopausal woman undergoing surgery for a benign ovarian tumor.
Observation:
- An incidental, round mass was discovered during a total abdominal hysterectomy and bilateral salpingo-oophorectomy.
- The mass exhibited characteristics of uterine-type smooth muscle and scattered endometrial glands and stroma.
- Histopathological analysis confirmed the presence of adenomyoma.
Findings:
- This report details the first known case of adenomyoma occurring in the ovarian ligament.
- Only seven other instances of extra-uterine uterine-like masses have been documented in medical literature.
- The discovered mass was histologically consistent with adenomyoma.
Implications:
- The origin of this ovarian ligament adenomyoma is likely linked to the secondary müllerian system.
- This finding expands the known anatomical locations for adenomyoma development.
- Highlights the importance of thorough histopathological examination in gynecologic surgery.
