Müllerian cyst of the uterus treated with laparoscopy and diagnosed using immunohistology.

Abstract

Among uterine cystic tumors, uterine cyst arising from secondary Müllerian epithelium is exceedingly rare. A 45-year-old woman presented with pelvic cystic mass, which was initially diagnosed as a paraovarian cyst by ultrasound and magnetic resonance imaging. At laparoscopy, the cyst proved to be a pedunculated uterine cyst, which was easily resected. Histologically, the cyst wall was lined by fallopian epithelium and positively stained for WT-1, estrogen receptor, and progesterone receptor. The final diagnosis was Müllerian cyst of the uterus. Preoperative diagnosis of uterine Müllerian cyst is usually impossible. Laparoscopy is useful as a minimally invasive treatment to diagnose and resect the cyst at the same time. Specific immunostaining is useful to make a definite diagnosis of Müllerian cyst of the uterus.

• Authors: Hanako Nakae, Yutaka Osuga, Akihisa Fujimoto, Shunsuke Nakagawa, Mari Ichinose, Tetsu Yano, Yuji Taketani
• Journal: The journal of obstetrics and gynaecology research (J Obstet Gynaecol Res) Vol. 39 Issue 1 Pg. 430-3 (Jan 2013) ISSN: 1447-0756 [Electronic] Australia
• PMID: 22845182 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: © 2012 The Authors. Journal of Obstetrics and Gynaecology Research © 2012 Japan Society of Obstetrics and Gynecology.

Topics

• Cysts (diagnosis, metabolism, surgery)
• Female
• Humans
• Immunohistochemistry
• Laparoscopy
• Middle Aged
• Mullerian Ducts (metabolism, pathology)
• Uterine Diseases (diagnosis, metabolism, surgery)
• Uterus (metabolism, pathology, surgery)