Adenomyoma with transitional glandular epithelium coexisting with Schistosomiasis

KabirAliyu Suleiman, Ishak Lawal, Nasir Abdullahi, JamiuMuhammad Bello
In: Annals of Tropical Pathology · 2019 · vol. 10(1) , pp. 74 · doi:10.4103/atp.atp_38_18 · W2945277561
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This case report details a rare adenomyoma variant with transitional glandular epithelium coexisting with schistosomiasis found within leiomyomatous smooth muscle in Nigeria.

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This case report describes a rare variant of adenomyoma characterized by transitional glandular epithelium coexisting with schistosomiasis within leiomyomatous smooth muscle. The patient presented with this unique pathology, which differs from typical adenomyosis by forming circumscribed nodular masses rather than diffuse involvement. The authors note that this appears to be the first reported instance of such a condition in Nigeria and potentially globally, highlighting its extreme rarity. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

Adenomyomas are uncommon tumor-like masses that differ from adenomyosis mainly in that they are circumscribed nodular masses. It may be located within the myometrium, or it may involve or originate in the endometrium and grow as a polyp. Endometrial polyps account for about 2% of the manifestation of adenomyomas. Adenomyoma may occur between ages 22 and 60 years. This case is a very rare variant of adenomyoma with transitional epithelium coexisting with schistosomiasis within leiomyomatous smooth muscle. We believe that this is the first reported case of adenomyoma with transitional glandular epithelium coexisting with schistosomiasis in Nigeria and there was no reported case or any work of such in all the English literatures searched, hence the need to report the case.
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Main Article Content Adenomyoma with Transitional Glandular Epithelium Coexisting with Schistosomiasis Abstract Adenomyomas are uncommon tumor-like masses that differ from adenomyosis mainly in that they are circumscribed nodular masses. It may be located within the myometrium, or it may involve or originate in the endometrium and grow as a polyp. Endometrial polyps account for about 2% of the manifestation of adenomyomas. Adenomyoma may occur between ages 22 and 60 years. This case is a very rare variant of adenomyoma with transitional epithelium coexisting with schistosomiasis within leiomyomatous smooth muscle. We believe that this is the first reported case of adenomyoma with transitional glandular epithelium coexisting with schistosomiasis in Nigeria and there was no reported case or any work of such in all the English literatures searched, hence the need to report the case.

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adenomyosis

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