title: Endocervical Atypical Polypoid Adenomyoma.
abstract: Atypical polypoid adenomyomas (APAMs) are rare uterine tumors that occur predominantly in premenopausal women, with less than 250 cases reported so far, worldwide. They may recur after treatment, and they may coexist with, or precede development of an endometrial adenocarcinoma. For this reason cases managed with conservative surgery or medical therapies require long-term follow-up. We report the case of a 41 years old nulliparous patient who during a diagnostic hysteroscopy was found with an endocervical atypical polypoid adenomyoma (APAM). The patient was desirous of a pregnancy, reported menometrorrhagia, and had a coexistent 5 cm, grade 2, submucous myoma, 3 endometrial polyps, and diffuse adenomyosis. She was treated with hysteroscopic resection of the APAM and polyps, plus laparoscopic myomectomy and wedge resection of adenomyosis. She is on an IVF list and after 4 months she is symptoms-free.
authors: First Department of Obstetrics & Gynecology, University of Athens, "Alexandra" Hospital, Athens, Greece. Electronic address: prototha@otenet.gr.
authors: Athanasios
authors: A
authors: Protopapas
authors: Pathology Department, "Alexandra" Hospital, Athens, Greece.
authors: Maria
authors: M
authors: Sotiropoulou
authors: First Department of Obstetrics & Gynecology, University of Athens, "Alexandra" Hospital, Athens, Greece.
authors: Stavros
authors: S
authors: Athanasiou
authors: First Department of Obstetrics & Gynecology, University of Athens, "Alexandra" Hospital, Athens, Greece.
authors: Dimitrios
authors: D
authors: Loutradis
mesh_terms: D018194:Adenomyoma / Q000150:complications / Q000473:pathology* / Q000601:surgery; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015907:Hysteroscopy; D007247:Infertility, Female / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D008595:Menorrhagia / Q000150:complications; D009364:Neoplasm Recurrence, Local / Q000150:complications; D011127:Polyps / Q000601:surgery*; D011247:Pregnancy; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000150:complications / Q000473:pathology* / Q000601:surgery
keywords: Atypical polypoid adenomyoma; Endometrial carcinoma; Hysteroscopy