Cystic adenomyosis with florid glandular differentiation mimicking ovarian malignancy

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AI-generated summary by claude@2026-06, 2026-06-07

This case report describes cystic adenomyosis with florid glandular differentiation that mimicked ovarian malignancy on MRI, emphasizing uterine origin indicators and the need for surgical exclusion of cancer.

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Abstract

We report a case of cystic adenomyosis, presenting as a huge exophytic cystic mass with florid glandular differentiation. MR findings of the mass mimicked ovarian carcinoma associated with endometriosis. The presence of signal voids bridging the uterus and tumour should suggest a mass of uterine origin. Hyperintense protuberance in a hypointense loculus on T(2) weighted images may suggest benign disease. However, surgical exploration and resection is still required to exclude an ovarian malignancy.

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Condition tags

endometriosisadenomyosis

MeSH descriptors

Endometriosis Ovarian Diseases Adult Cell Differentiation Diagnosis, Differential Endometriosis Female Humans Magnetic Resonance Imaging Ovarian Diseases Ovarian Neoplasms Ovarian Neoplasms Uterine Diseases Uterine Diseases

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Source provenance

europepmc
last seen: 2026-06-11T06:19:48.454388+00:00
pubmed
last seen: 2026-05-13T22:15:41.664291+00:00
unpaywall
last seen: 2026-05-14T19:30:52.867331+00:00
License: public-domain-us · commercial use OK · attribution required
Courtesy of the U.S. National Library of Medicine