ナカバヤシ　アキラ   Nakabayashi Akira   中林　章    所属   医学部 医学科（東京女子医科大学病院）    職種   准教授
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	A case of rapidly-growing atypical polypoid adenomyoma which was histologically diagnosed before operation and removed by a laparoscopic resection.
掲載誌名	正式名：Taiwanese journal of obstetrics & gynecology 略　 称：Taiwan J Obstet Gynecol ISSNコード：18756263/10284559
掲載区分	国外
巻・号・頁	57(1),pp.115-118
著者・共著者	Nakabayashi Akira, Takahashi Nobuko, Hashimoto Kazunori, Nagata Reiko, Hashimoto Tomomi, Yamamoto Tomoko, Matsui Hideo
発行年月	2018/02
概要	OBJECTIVE:Atypical polypoid adenomyoma (APAM) is an epithelial-mesenchymal mixed tumor which often develops in the uterine cavity of reproductive age women, requiring preservation of the reproductive functions. Preoperative endometrial biopsy may not yield histological diagnosis as the tumor is a solid smooth muscle tumor. The standard treatment option is a hysteroscopic resection for the diagnosis and the treatment at the same time.CASE REPORT:We report a case of rapidly-growing APAM successfully diagnosed preoperatively via transcervical punch biopsy followed by a laparoscopic resection. The mass was relatively large, had been located in the lower segment of the uterus, and the area of contact with the muscular layers was large. It was a complete removal and no recurrence had been observed 9 months after the operation.CONCLUSION:This is the first report of APAM treated by laparoscopic resection. The method may be a useful alternative when hysteroscopic surgery is inappropriate.
DOI	10.1016/j.tjog.2017.12.019
PMID	29458879