IMR Press / EJGO / Volume 33 / Issue 1 / pii/1631086208341-1636045060

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 imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report
Atypical polypoid adenomyoma of the uterus. A case report and a review of the literature
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1 Department of Pathology, Tzaneion General Hospital of Pireaus, Piraeus (Greece)
Eur. J. Gynaecol. Oncol. 2012, 33(1), 118–121;
Published: 10 February 2012
Abstract

Atypical polypoid adenomyoma (APA) is a rare, benign lesion. The tumor occurs in nulliparous women aged 22-48 years (average 33 years) and it has been suggested as being related to prolonged estrogenic stimulation. We describe a case of a 72-year-old woman who presented at our hospital with persistent, worsening urinary incontinence and pelvic pain. Physical examination and pelvic ultrasound disclosed uterine enlargement, a mass in the endometrial cavity and multiple small myomas. Total hysterectomy with bilateral salpingo-oophorectomy was performed. The histological diagnosis for the mass of the endometrial cavity was atypical polypoid adenomyoma. APA should be distinguished from endometrial carcinoma and other malignant uterine neoplasms such as adenofibroma, adenosarcoma and malignant mixed mullerian tumor. The immunohistochemical panel which usually includes alpha smooth muscle actin, desmin, Ki67 and recently CD10 is often helpful in establishing the diagnosis. The treatment may vary depending on the patient’s age, her desire to preserve fertility, and the severity of her symptoms.
Keywords
Uterus
Atypical polypoid adenomyoma
Endometrial stromal cells
Immunohistochemistry
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