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Recurrent Prolapsed Giant Uterine Polyp Comprised of Adenomyotic Cysts

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Author(s): Vaseem Ali | Jaou-Chen Huang | Alyaa Al-Ibraheemi | Jing Liu

Journal: International Journal of Clinical Medicine
ISSN 2158-284X

Volume: 02;
Issue: 04;
Start page: 478;
Date: 2011;
Original page

Keywords: Giant | Prolapsed | Uterine Polyp | Recurrent | Adenomyotic Cyst

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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