1. Diagnosis, laparoscopic management, and histopathologic findings of juvenile cystic adenomyoma: a review of nine cases 
Hiroyuki Takeuchi, M.D., Mari Kitade, M.D., Iwaho Kikuchi, M.D., Jun Kumakiri, M.D., Keiji Kuroda, M.D., Makoto Jinushi, M.D. 
Fertility and Sterility 
Volume 94, Issue 3, Pages (August 2010)
DOI: /j.fertnstert
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2. Figure 1
Imaging findings. (A) Transvaginal ultrasound of uterus in axial view. Arrows show lesion. (B) Axial T1-weighted magnetic resonance image of cystic adenomyoma (arrow). T1-weighted image shows cyst as area of high intensity. (C) Axial T2-weighted magnetic resonance image of cystic adenomyoma (arrow). T2-weighted image shows cyst as area of high intensity. Normal uterine cavity is visualized as triangular area near cyst.
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3. Figure 2
Surgical procedure. (A) Cystic adenomyoma located on right side of uterine fundus. (B) Diluted vasopressin injected around cystic adenomyoma. (C) Transverse incision of tumor and suture pulled from tumor using forceps to create lysis border. (D) Uterine myometrium closed laparoscopically in two layers by continuous suture. (E) Trocar (11 mm) inserted via posterior fornix and Endocatch inserted. (F) Tumor entrapped by Endocatch removed transvaginally.
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4. Figure 3
Histologic findings of resected tumor. (A) Macroscopic finding. (B) Cyst is lined with eutopic endometrium-like tissue. Adenomyosis lesion has infiltrated below cyst wall (arrows). (C) Basal layer of endometrium not evident in cystic adenomyoma. (D) Endometrium-like tissue lining cyst is stained positively for CD10, ER, and PR.
Fertility and Sterility  , DOI: ( /j.fertnstert )
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