IMR Press / EJGO / Volume 30 / Issue 6 / pii/2009172

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Case Report

Incidental diagnosis of atypical polypoid adenomyoma in a young infertile woman

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1 2nd Department of Obstetrics and Gynecology, Hippokratio University Hospital (Greece)
2 Obstetrics and Gynecology department, Interbalkan Medical Centre (Greece)
3 Obstetrics and Gynecology department, Interbalkan Medical Centre (Greece)
Eur. J. Gynaecol. Oncol. 2009, 30(6), 701–703;
Published: 10 December 2009

 Atypical polypoid adenomyoma (APA) is considered to be a rare, benign form of a polypoid mass that exhibits glandular and squamous epithelial cell proliferation with varying degrees of atypia in association with cellular smooth muscle stroma. More frequently it manifests during the reproductive and premenopausal age with a reported mean age of 40 years. The published series indicates an average risk of endometrial carcinoma of 8.8% in women with a history of polypoid adenomyoma. The differential diagnosis of APA includes complex endometrial hyperplasia with atypia, invasive adenocarcinoma, adenofibroma, adenosarcoma and carcinosarcoma. The recognition of these unusual benign uterine tumors is very important, because they can easily be misdiagnosed. Treatment may vary depending on the patient’s age, her desire to preserve fertility and the severity of her symptoms. We present a case of an infertile 39-year-old woman with an incidental diagnosis of APA. 

Atypical polypoid adenomyoma
Uterine tumors
Endometrial carcinoma
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