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Figure 11d. Submucosal adenomyotic cyst in a 37-year-old woman. (a) Sagittal T2-weighted image obtained 3 years earlier shows typical adenomyosis. (b) Sagittal T1-weighted image shows a polypoid mass in the endometrial cavity (arrows). The hyperintense area in the mass is hemorrhage. (c) Sagittal T2-weighted image shows the well-defined cystic mass (arrows). Its thick wall has inner low and outer high signal intensity (miniature uterus). The uterus is enlarged due to adenomyosis. (d) Sagittal contrast-enhanced T1-weighted image shows marked enhancement of the wall (arrows). (e) Photograph of the cut surface shows the uterus-like mass (arrows). (f) Photomicrograph (original magnification, x40; H-E stain) shows the cyst (*) surrounded by layers of endometrial tissue and smooth muscle.
