Accessory and cavitated uterine masses: a case series and review of the literature.
(2023) Frontiers in reproductive health — Vol. 5, p. 1197931 [1-14] (2023)
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- OBJECTIVES: The purpose of this study is to report nine patients of young women who underwent a surgical treatment of an accessory and cavitated uterine mass (ACUM) in our hospital between 2014 and 2022 and review all cases described in the literature. MATERIAL AND METHODS: The principal outcomes measured are the imaging techniques used to determine the diagnosis, the type of surgery used and the post-operative evolution of symptoms. We also report and analyse the 79 patients found in the literature since 1996 in addition to our 9 patients. RESULTS: Surgical excision is the only long-lasting treatment. Small invasive surgery with laparoscopic access is the gold standard and most widely used (83.0%). Some new therapeutic procedures have been recently described of which ethanol sclerotherapy seems very promising. Post-operatively, 54.5% of patients have a complete relief of symptoms. MRI is the best imaging technique to identify ACUM. Finally, we refine the description of this pathology and give a more precise definition of it. CONCLUSION: Through our literature review and the analysis of our cases, we want to underline an important diagnostic criterion of this pathology: the fallopian tube on the homolateral side of the ACUM never communicates with the latter. It is a capital element for differential diagnosis.
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Dekkiche, S., Dubruc, E., Kanbar, M., Feki, A., Mueller, M., Meuwly, J.-Y., & Mathevet, P. (2023). Accessory and cavitated uterine masses: a case series and review of the literature. Frontiers in reproductive health, 5, 1197931 [1-14]. https://doi.org/10.3389/frph.2023.1197931 (Original work published 2023)