Multiple atypical polypoid adenomyoma of the uterus.
Atypical polypoid adenomyoma (APA) of the uterus is a rare neoplasm that predominantly occurs in premenopausal woman. It typically appears as a polypoid mass with a mixture of hyperintensity and hypointensity on T2-weighted MRI. We report a case of a 45-year-old woman with multiple APAs (33 and 22 mm). She underwent hysteroscopic resection. The diagnosis of APAs was histologically made by irregularly proliferating atypical endometrial glands that were admixed with a stroma. This is the first case of multiple APAs with radiological findings. It is important to recognize the possible multiplicity of APA for proper diagnosis.
Department of Radiology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-0042, Japan. horikawaradivr@gmail.com
Masahiro
M
Horikawa
Hiroshi
H
Shinmoto
Shigeyoshi
S
Soga
Eisuke
E
Shiomi
Kiguna
K
Sei
Hideyuki
H
Shimazaki
Tatsumi
T
Kaji
D018194:Adenomyoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D003287:Contrast Media; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008875:Middle Aged; D011127:Polyps / Q000175:diagnosis; D014463:Ultrasonography; D014594:Uterine Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery
D003287:Contrast Media