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Incidental diagnosis of atypical polypoid adenomyoma in a young infertile woman.
Eur J Gynaecol Oncol. 2009; 30(6):701-3.EJ

Abstract

Atypical polypoid adenomyoma (APA) is considered to be a rare, benign form of a polypoid mass that exhibits glandular and squamous epithelial cell proliferation with varying degrees of atypia in association with cellular smooth muscle stroma. More frequently it manifests during the reproductive and premenopausal age with a reported mean age of 40 years. The published series indicates an average risk of endometrial carcinoma of 8.8% in women with a history of polypoid adenomyoma. The differential diagnosis of APA includes complex endometrial hyperplasia with atypia, invasive adenocarcinoma, adenofibroma, adenosarcoma and carcinosarcoma. The recognition of these unusual benign uterine tumors is very important, because they can easily be misdiagnosed. Treatment may vary depending on the patient's age, her desire to preserve fertility and the severity of her symptoms. We present a case of an infertile 39-year-old woman with an incidental diagnosis of APA.

Authors+Show Affiliations

2nd Department of Obstetrics and Gynecology, Hippokratio University Hospital, Thessaloniki, Greece.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

20099510

Citation

Dinas, K, et al. "Incidental Diagnosis of Atypical Polypoid Adenomyoma in a Young Infertile Woman." European Journal of Gynaecological Oncology, vol. 30, no. 6, 2009, pp. 701-3.
Dinas K, Daniilidis A, Drizis E, et al. Incidental diagnosis of atypical polypoid adenomyoma in a young infertile woman. Eur J Gynaecol Oncol. 2009;30(6):701-3.
Dinas, K., Daniilidis, A., Drizis, E., Zaraboukas, T., & Tzafettas, J. (2009). Incidental diagnosis of atypical polypoid adenomyoma in a young infertile woman. European Journal of Gynaecological Oncology, 30(6), 701-3.
Dinas K, et al. Incidental Diagnosis of Atypical Polypoid Adenomyoma in a Young Infertile Woman. Eur J Gynaecol Oncol. 2009;30(6):701-3. PubMed PMID: 20099510.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Incidental diagnosis of atypical polypoid adenomyoma in a young infertile woman. AU - Dinas,K, AU - Daniilidis,A, AU - Drizis,E, AU - Zaraboukas,T, AU - Tzafettas,J, PY - 2010/1/27/entrez PY - 2010/1/27/pubmed PY - 2010/4/14/medline SP - 701 EP - 3 JF - European journal of gynaecological oncology JO - Eur J Gynaecol Oncol VL - 30 IS - 6 N2 - Atypical polypoid adenomyoma (APA) is considered to be a rare, benign form of a polypoid mass that exhibits glandular and squamous epithelial cell proliferation with varying degrees of atypia in association with cellular smooth muscle stroma. More frequently it manifests during the reproductive and premenopausal age with a reported mean age of 40 years. The published series indicates an average risk of endometrial carcinoma of 8.8% in women with a history of polypoid adenomyoma. The differential diagnosis of APA includes complex endometrial hyperplasia with atypia, invasive adenocarcinoma, adenofibroma, adenosarcoma and carcinosarcoma. The recognition of these unusual benign uterine tumors is very important, because they can easily be misdiagnosed. Treatment may vary depending on the patient's age, her desire to preserve fertility and the severity of her symptoms. We present a case of an infertile 39-year-old woman with an incidental diagnosis of APA. SN - 0392-2936 UR - https://www.unboundmedicine.com/medline/citation/20099510/Incidental_diagnosis_of_atypical_polypoid_adenomyoma_in_a_young_infertile_woman_ L2 - https://medlineplus.gov/femaleinfertility.html DB - PRIME DP - Unbound Medicine ER -