Endocervical Atypical Polypoid Adenomyoma

Αθανάσιος Πρωτόπαπας, Protopapas A, Athanasios Protopapas, Maria Sotiropoulou, Sotiropoulou M, Stavros Athanasiou, Dimitrios Loutradis, Loutradis D
Journal of Minimally Invasive Gynecology · 2015 · vol. 23(1) , pp. 130–132 · doi:10.1016/j.jmig.2015.08.879 · PMID:26304721 · W1613416128
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This case report details the hysteroscopic resection of an endocervical atypical polypoid adenomyoma in a 41-year-old nulliparous woman desiring pregnancy, who also had other uterine pathologies.

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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.

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MeSH descriptors

Adenomyoma Hysteroscopy Infertility, Female Polyps Uterine Neoplasms Adenomyoma Adenomyoma Adenomyoma Adult Female Follow-Up Studies Humans Infertility, Female Infertility, Female Infertility, Female Menorrhagia Menorrhagia Neoplasm Recurrence, Local Neoplasm Recurrence, Local Polyps

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