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MRI and Transvaginal Ultrasound Findings of Atypical Polypoid Adenomyoma: A Case Report / 中国医学科学杂志(英文版)
Chinese Medical Sciences Journal ; (4): 82-86, 2022.
Article in English | WPRIM | ID: wpr-928245
ABSTRACT
Atypical polypoid adenomyoma (APA) is an uncommon type of polypoid characterized by fibroid stroma and endometrial glands. It occurs mostly in premenopausal women and rarely in postmenopausal women with irregular vaginal bleeding. In our current case, a 76-year-old woman presented with irregular vaginal bleeding. The final pathological diagnosis of the mass was APA. APA is not easy to diagnose before surgery. On the one hand, there was no obvious particularity in imaging features and clinical features, especially for uncomfortably identifying endometrial cancer. On the other hand, APA has a pedicle, attaching to any part of the uterine cavity, which can cause pseudocoel between the mass with the uterine cavity wall. So, when it comes to getting the pathological tissue in the absence of hysteroscopy, it is easy to access to the pseudocoel and obtain endometrial tissue rather than the pathological tissue of the mass. Therefore, preoperative imaging examination is of great significance diagnosis way of thinking to clinicians for APA. In the meantime, pathological tissue of APA can be obtained by hysteroscopy in visual conditions.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Uterine Hemorrhage / Uterine Neoplasms / Magnetic Resonance Imaging / Hysteroscopy / Adenomyoma Type of study: Diagnostic study / Prognostic study Limits: Aged / Female / Humans / Pregnancy Language: English Journal: Chinese Medical Sciences Journal Year: 2022 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Uterine Hemorrhage / Uterine Neoplasms / Magnetic Resonance Imaging / Hysteroscopy / Adenomyoma Type of study: Diagnostic study / Prognostic study Limits: Aged / Female / Humans / Pregnancy Language: English Journal: Chinese Medical Sciences Journal Year: 2022 Type: Article