Juvenile Cystic Adenomyoma Mimicking a Degenerating Leiomyoma

Kimberly Yau, Jason Jarin

Research output: Contribution to journalReview articlepeer-review


Background: Juvenile cystic adenomyoma (JCA) is a rare form of adenomyosis that affects women ≤30 years old, typically manifesting as severe dysmenorrhea and recurrent pelvic pain. Case: A 14-year-old nulligravida without significant dysmenorrhea had a uterine mass identified as a degenerating fibroid on multiple imaging studies. The mass was excised, and histopathologic examination confirmed JCA. Results: At 3 her months postoperative follow up, this patient had no recurrence of pain. Conclusions: Although JCAs rare lesions that typically present with severe dysmenorrhea, they should be considered in adolescent females presenting with noncyclic pelvic pain and uterine masses.

Original languageEnglish (US)
Pages (from-to)352-354
Number of pages3
JournalJournal of Gynecologic Surgery
Issue number4
StatePublished - Aug 2021


  • JCA
  • adenomyosis
  • juvenile cystic adenomyoma
  • pelvic pain
  • uterine cyst
  • uterine mass

ASJC Scopus subject areas

  • Surgery
  • Obstetrics and Gynecology


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