{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T13:34:50Z","timestamp":1771335290030,"version":"3.50.1"},"reference-count":30,"publisher":"Galenos Yayinevi","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facts Views Vis ObGyn"],"published-print":{"date-parts":[[2021,6,24]]},"abstract":"<jats:p>Background: Juvenile cystic adenomyosis (JCA) represents a rare form of focal adenomyosis in young women.\n\nObjectives: To determine safety and effectiveness of minimally invasive surgery (MIS for JCA).\n\nMaterials and Methods: Three patients aged 16-30 years old presented with chronic pelvic pain [2016 - 2019]. Hormonal treatment failed in two cases. Cystic lesions in the myometrium (n=2), and the broad ligament (n=1) was detected on transvaginal 2D ultrasound (TV 2D US) and\/or magnetic resonance imaging (MRI). The cyst was separate from the endometrium in all the cases, within the myometrium in two patients and in the right broad ligament in one case. The cystic lesions were confirmed on laparoscopy; and laparoscopic excision of the cysts with adequate repair of the myometrial beds were performed in all cases with fertility preservation. Robotic assistance was chosen in one case in an attempt to avoid injury of the fallopian tube based on the cyst location during a previous laparoscopy. The endometrial cavity was entered in one case.\n\nMain outcome measures: Absence of intraoperative complications and relief of presenting symptoms postoperatively.\n\nResults: Pathology report confirmed the diagnosis of JCA is all cases. There were no intraoperative complications. All three patients reported relief of their symptoms 6 to 8 months after surgery. No recurrence of the JCA was reported using TV 2D US in all cases.\n\nConclusions: MIS could be the treatment of choice for patients with JCA. The technique described in our study is safe, effective, and easy to master in experienced hands.\n\nWhat is new? Value of MIS in treatment of patients with JCA.<\/jats:p>","DOI":"10.52054\/fvvo.13.3.033","type":"journal-article","created":{"date-parts":[[2021,9,24]],"date-time":"2021-09-24T03:23:25Z","timestamp":1632453805000},"page":"267-272","source":"Crossref","is-referenced-by-count":4,"title":["Minimally invasive management of juvenile cystic adenomyoma: report of three cases"],"prefix":"10.52054","volume":"13","author":[{"given":"M.R.","family":"Said","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Afaneh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"O","family":"Zaghmout","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Moses","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"O.J.","family":"Young","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.I.","family":"Abuzeid","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2811","published-online":{"date-parts":[[2021,6]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"ACOG Practice Bulletin no. 114: management of endometriosis. 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J  Pediatr  Adolesc  Gynecol.  2015;28:420-6.","DOI":"10.1016\/j.jpag.2014.05.008"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Chauhan R, Dadhich R, Sahu B et al. Endometriosis in broad ligament:  a  rare  case.  Int  J  Reprod  Contracep  Obstet  Gynecol. 2017;6.","DOI":"10.18203\/2320-1770.ijrcog20172382"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Dadhwal V, Sharma A, Khoiwal K. Juvenile cystic adenomyoma mimicking a uterine anomaly: a report of two cases. Eurasian J Med. 2017;49:59-61.","DOI":"10.5152\/eurasianjmed.2017.17028"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Deblaere L, Froyman W, Van den Bosch T et al. Juvenile cystic adenomyosis:  a  case  report  and  review  of  the  literature.  Australas J Ultrasound Med. 2019;22:295-0.","DOI":"10.1002\/ajum.12171"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Di Spiezio Sardo A, Campo R, Gordts S et al. The comprehensiveness  of  the  ESHRE\/ESGE  classification  of female  genital  tract    congenital  anomalies:  a  systematic  review  of  cases  not  classified  by  the  AFS  system.  Hum Reprod. 2015;30:1046-58.","DOI":"10.1093\/humrep\/dev061"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Dogan E, Gode F, Saatli B et al. Juvenile cystic adenomyosis mimicking  uterine  malformation:  a  case  report.  Arch  Gynecol Obstet. 2008;278:593-5.","DOI":"10.1007\/s00404-008-0618-3"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Fisseha  S,  Smith  YR,  Kumetz  LM  et  al.  Cystic  myometrial  lesion  in  the  uterus  of  an  adolescent  girl.  Fertil  Steril.  2006;86:716-8.","DOI":"10.1016\/j.fertnstert.2006.03.019"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"Garcia L, Isaacson K. Adenomyosis: review of the literature. J Minim Invasive Gynecol. 2011;18:428-37.","DOI":"10.1016\/j.jmig.2011.04.004"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Grimbizis GF, Mikos T, Zepiridis L et al. Laparoscopic excision of uterine adenomyomas. Fertil Steril. 2008;89:953-61.","DOI":"10.1016\/j.fertnstert.2007.04.063"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"Ho  M-L,  Raptis  C,  Hulett  R  et  al.  Adenomyotic  cyst  of  the  uterus in an adolescent. Pediatr Radiol. 2008;38:1239-42.","DOI":"10.1007\/s00247-008-0948-0"},{"key":"ref14","doi-asserted-by":"crossref","unstructured":"Ho M-L, Ratts V, Merritt D. Adenomyotic cyst in an adolescent girl. J Pediatr Adolesc Gynecol. 2009;22:33-8.","DOI":"10.1016\/j.jpag.2008.05.011"},{"key":"ref15","doi-asserted-by":"publisher","unstructured":"Jain N, Goel S. Cystic Adenomyoma simulates uterine malformation:  A  diagnostic  dilemma:  case  report  of  two  unusual cases. J Hum Reprod Sci. 2012;5:285-8.","DOI":"10.4103\/0974-1208.106342"},{"key":"ref16","doi-asserted-by":"publisher","unstructured":"Jain N, Verma R. Imaging diagnosis of accessory and cavitated uterine  mass,  a  rare  mullerian  anomaly.  Indian  J  Radiol  Imaging. 2014;24:178-81.","DOI":"10.4103\/0971-3026.134411"},{"key":"ref17","doi-asserted-by":"publisher","unstructured":"Krentel H, Cezar C, Becker S et al. From clinical symptoms to MR imaging: diagnostic steps in adenomyosis. Biomed Res Int. 2017;2017:1514029.","DOI":"10.1155\/2017\/1514029"},{"key":"ref18","doi-asserted-by":"publisher","unstructured":"Kriplani A, Mahey R, Agarwal N et al. Laparoscopic management of juvenile cystic adenomyoma: four cases. J Minim Invasive Gynecol. 2011;18:343-8.","DOI":"10.1016\/j.jmig.2011.02.001"},{"key":"ref19","unstructured":"Manta  L,  Suciu  N,  Constantin  A  et  al.  Focal  adenomyosis  (intramural  endometriotic  cyst)  in  a  very  young  patient  -  differential diagnosis with uterine fibromatosis. J Med Life. 2016;9:180-2."},{"key":"ref20","doi-asserted-by":"publisher","unstructured":"Nabeshima H, Murakami T, Nishimoto M et al. Successful total laparoscopic  cystic  adenomyomectomy  after  unsuccessful  open surgery using transtrocar ultrasonographic guiding. J Minim Invasive Gynecol. 2008;15:227-30.","DOI":"10.1016\/j.jmig.2007.10.007"},{"key":"ref21","doi-asserted-by":"publisher","unstructured":"Panwar A, Davis AA, Lata K et al. Laparoscopic management of accessory cavitated uterine mass: a report of two cases and review of literature. J Gynecol Surg. 2020;36:285-8.","DOI":"10.1089\/gyn.2020.0019"},{"key":"ref22","doi-asserted-by":"publisher","unstructured":"Pontrelli G, Bounous VE, Scarperi S et al. Rare case of giant cystic  adenomyoma  mimicking  a  uterine  malformation,  diagnosed and treated by hysteroscopy. J Obstet Gynaecol Res. 2015;41:1300-4.","DOI":"10.1111\/jog.12698"},{"key":"ref23","unstructured":"Shah  N,  Paranjpe  SH,  Puri  J.  Juvenile  Cystic  Adenomyoma  Managed Laparoscopically. JPGO. 2018;8."},{"key":"ref24","doi-asserted-by":"publisher","unstructured":"Shah  N,  Joshi  A,  Bansode  S  et  al.  Accessory  cavitated  uterine  mass: an emerging differential diagnosis of dysmenorrhea in the adolescents. J Minim Invasive Gynecol. 2021;28:1131-1132.","DOI":"10.1016\/j.jmig.2020.12.021"},{"key":"ref25","doi-asserted-by":"publisher","unstructured":"Strelec  M,  Banovi\u0107  M,  Banovi\u0107  V  et  al.  Juvenile  cystic adenomyoma  mimicking  a  Mullerian  uterine  anomaly  successfully treated by laparoscopic excision. Int J Gynaecol Obstet. 2019;146:265-6.","DOI":"10.1002\/ijgo.12880"},{"key":"ref26","doi-asserted-by":"publisher","unstructured":"Takeda A, Sakai K, Mitsui T et al. Laparoscopic management of juvenile cystic adenomyoma of the uterus: report of two cases and review of the literature. J Minim Invasive Gynecol. 2007;14:370-4.","DOI":"10.1016\/j.jmig.2007.01.005"},{"key":"ref27","doi-asserted-by":"publisher","unstructured":"Takeuchi H, Kitade M, Kikuchi I et al. Diagnosis, laparoscopic management,  and  Histopathologic  findings  of  juvenile cystic  adenomyoma:  a  review  of  nine  cases.  Fertil  Steril.  2010;94:862-8.","DOI":"10.1016\/j.fertnstert.2009.05.010"},{"key":"ref28","doi-asserted-by":"publisher","unstructured":"Tamura  M,  Fukaya  T,  Takaya  R  et  al.  Juvenile  adenomyotic  cyst of the corpus uteri with dysmenorrhea. Tohoku J Exp Med. 1996;178:339-44.","DOI":"10.1620\/tjem.178.339"},{"key":"ref29","doi-asserted-by":"publisher","unstructured":"Trehan  A,  Trehan  AK.  Endometrioma  contained  within  the  broad ligament. 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