Accessory and cavitated uterine masses: a case series and review of the literature
ObjectivesThe 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 methodsThe principal outcomes measure...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2023-08-01
|
| Series: | Frontiers in Reproductive Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/frph.2023.1197931/full |
| _version_ | 1797741490362908672 |
|---|---|
| author | S. Dekkiche E. Dubruc M. Kanbar A. Feki M. Mueller J-Y. Meuwly J-Y. Meuwly P. Mathevet P. Mathevet |
| author_facet | S. Dekkiche E. Dubruc M. Kanbar A. Feki M. Mueller J-Y. Meuwly J-Y. Meuwly P. Mathevet P. Mathevet |
| author_sort | S. Dekkiche |
| collection | DOAJ |
| description | ObjectivesThe 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 methodsThe 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.ResultsSurgical 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.ConclusionThrough 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. |
| first_indexed | 2024-03-12T14:27:07Z |
| format | Article |
| id | doaj.art-39e96d0118c3465eabc6046fbb1ee3e2 |
| institution | Directory Open Access Journal |
| issn | 2673-3153 |
| language | English |
| last_indexed | 2024-03-12T14:27:07Z |
| publishDate | 2023-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Reproductive Health |
| spelling | doaj.art-39e96d0118c3465eabc6046fbb1ee3e22023-08-18T01:53:02ZengFrontiers Media S.A.Frontiers in Reproductive Health2673-31532023-08-01510.3389/frph.2023.11979311197931Accessory and cavitated uterine masses: a case series and review of the literatureS. Dekkiche0E. Dubruc1M. Kanbar2A. Feki3M. Mueller4J-Y. Meuwly5J-Y. Meuwly6P. Mathevet7P. Mathevet8Gynaecology Department, Department Women-Mother-Child, Lausanne University Hospital (CHUV), Lausanne, SwitzerlandInstitute of Pathology, Lausanne University Hospital (CHUV), Lausanne, SwitzerlandInstitut de Recherche Expérimentale et Clinique (IREC), Université Catholique de Louvain, Brussels, BelgiumDepartment of Obstetrics and Gynaecology, HFR Fribourg Hôpital Cantonal, Fribourg, SwitzerlandDepartment of Obstetrics and Gynaecology, University Hospital of Berne and University of Berne, Berne, SwitzerlandDepartment of Diagnostic and Interventional Radiology, Lausanne University Hospital (CHUV), Lausanne, SwitzerlandFaculty of Biology and Medicine (FBM), University of Lausanne, Lausanne, SwitzerlandGynaecology Department, Department Women-Mother-Child, Lausanne University Hospital (CHUV), Lausanne, SwitzerlandFaculty of Biology and Medicine (FBM), University of Lausanne, Lausanne, SwitzerlandObjectivesThe 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 methodsThe 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.ResultsSurgical 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.ConclusionThrough 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.https://www.frontiersin.org/articles/10.3389/frph.2023.1197931/fullACUMMüllerian anomaliesuterine malformationsdysmenorrheachronic pelvic pain |
| spellingShingle | S. Dekkiche E. Dubruc M. Kanbar A. Feki M. Mueller J-Y. Meuwly J-Y. Meuwly P. Mathevet P. Mathevet Accessory and cavitated uterine masses: a case series and review of the literature Frontiers in Reproductive Health ACUM Müllerian anomalies uterine malformations dysmenorrhea chronic pelvic pain |
| title | Accessory and cavitated uterine masses: a case series and review of the literature |
| title_full | Accessory and cavitated uterine masses: a case series and review of the literature |
| title_fullStr | Accessory and cavitated uterine masses: a case series and review of the literature |
| title_full_unstemmed | Accessory and cavitated uterine masses: a case series and review of the literature |
| title_short | Accessory and cavitated uterine masses: a case series and review of the literature |
| title_sort | accessory and cavitated uterine masses a case series and review of the literature |
| topic | ACUM Müllerian anomalies uterine malformations dysmenorrhea chronic pelvic pain |
| url | https://www.frontiersin.org/articles/10.3389/frph.2023.1197931/full |
| work_keys_str_mv | AT sdekkiche accessoryandcavitateduterinemassesacaseseriesandreviewoftheliterature AT edubruc accessoryandcavitateduterinemassesacaseseriesandreviewoftheliterature AT mkanbar accessoryandcavitateduterinemassesacaseseriesandreviewoftheliterature AT afeki accessoryandcavitateduterinemassesacaseseriesandreviewoftheliterature AT mmueller accessoryandcavitateduterinemassesacaseseriesandreviewoftheliterature AT jymeuwly accessoryandcavitateduterinemassesacaseseriesandreviewoftheliterature AT jymeuwly accessoryandcavitateduterinemassesacaseseriesandreviewoftheliterature AT pmathevet accessoryandcavitateduterinemassesacaseseriesandreviewoftheliterature AT pmathevet accessoryandcavitateduterinemassesacaseseriesandreviewoftheliterature |