Korean J Pathol.  2013 Apr;47(2):177-181.

Extrapelvic Uterus-like Masses Presenting as Colonic Submucosal Tumor: A Case Study and Review of Literature

Affiliations
  • 1Department of Pathology, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea. pathogen@medimail.co.kr
  • 2Aerospace Medical Research Center, Aerospace Medical Center, Republic of Korea Air Force, Cheongwon, Korea.
  • 3Department of Radiology, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea.
  • 4Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea.

Abstract

A uterus-like mass (ULM) is a central cavity lined by endometrial glands and stroma and surrounded by thick-walled smooth muscles. To date, 31 cases of ULM have been reported in the English literature. ULM typically presents as a single mass and is located in the pelvic cavity. We report here a very rare case of multiple extrapelvic ULMs involving the cecum, descending colon, and mesocolon. After extensive literature research, our case appears to be the first case of multiple ULMs found in extrapelvic sites and the first case of ULM in the colon. The present case suggests that ULM should be included in the differential diagnosis of colonic submucosal tumors in female patients with chronic abdominal pain or menstruation-associated symptoms.

Keyword

Uterus-like mass; Endomyometriosis; Adenomyoma; Colon

MeSH Terms

Abdominal Pain
Adenomyoma
Cecum
Colon
Colon, Descending
Diagnosis, Differential
Female
Humans
Mesocolon
Muscle, Smooth
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