Juvenile Cystic Adenomyoma Managed Surgically and Medically: a Case Series

Abstract

Background: Juvenile cystic adenomyoma (JCA) is a rare, benign uterine lesion, identified between menarche and early adulthood. Patients often present with severe dysmenorrhea refractory to conservative management. Lesions are well-circumscribed and confined to the myometrium, distinct from diffuse adenomyosis typical of older women. Diagnosis on imaging can be challenging, and lesions are often misclassified. Surgical and medical management have been described.