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Case of atypical polypoid adenomyoma that possibly underwent a serial progression from endometrial hyperplasia to carcinoma.
J Obstet Gynaecol Res. 2011 May; 37(5):468-71.JO

Abstract

Atypical polypoid adenomyoma is a rare uterine tumor composed of atypical endometrial glands, which often exhibit squamous metaplasia, and a cellular smooth muscle stroma. Although atypical polypoid adenomyoma is categorized as a benign lesion, it is reportedly associated with endometrial cancer, and it shows persistence and recurrence even after conservative medical treatment. We present a rare case of atypical polypoid adenomyoma that possibly underwent a serial pathological change from endometrial hyperplasia to carcinoma in a 40-year-old woman with no history of pregnancy. She was diagnosed with atypical polypoid adenomyoma during polypectomy surgery. After resecting the atypical polypoid adenomyoma, endometrial hyperplasia complex was detected. This condition eventually progressed from atypical hyperplasia complex to endometrial adenocarcinoma, and total abdominal hysterectomy was performed. A patient with atypical polypoid adenomyoma who wishes to preserve her fertility should be carefully monitored for endometrial carcinoma. If endometrial hyperplasia is detected in such a patient, a meticulous follow-up examination by performing endometrial biopsy is mandatory.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Toho University School of Medicine, Ohashi Medical Center, Tokyo, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

21272150

Citation

Fukuda, Mami, et al. "Case of Atypical Polypoid Adenomyoma That Possibly Underwent a Serial Progression From Endometrial Hyperplasia to Carcinoma." The Journal of Obstetrics and Gynaecology Research, vol. 37, no. 5, 2011, pp. 468-71.
Fukuda M, Sakurai N, Yamamoto Y, et al. Case of atypical polypoid adenomyoma that possibly underwent a serial progression from endometrial hyperplasia to carcinoma. J Obstet Gynaecol Res. 2011;37(5):468-71.
Fukuda, M., Sakurai, N., Yamamoto, Y., Taoka, H., Asakawa, Y., Kurasaki, A., Oharaseki, T., Takahashi, K., & Kubushiro, K. (2011). Case of atypical polypoid adenomyoma that possibly underwent a serial progression from endometrial hyperplasia to carcinoma. The Journal of Obstetrics and Gynaecology Research, 37(5), 468-71. https://doi.org/10.1111/j.1447-0756.2010.01365.x
Fukuda M, et al. Case of Atypical Polypoid Adenomyoma That Possibly Underwent a Serial Progression From Endometrial Hyperplasia to Carcinoma. J Obstet Gynaecol Res. 2011;37(5):468-71. PubMed PMID: 21272150.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Case of atypical polypoid adenomyoma that possibly underwent a serial progression from endometrial hyperplasia to carcinoma. AU - Fukuda,Mami, AU - Sakurai,Nobuyuki, AU - Yamamoto,Yasuhiro, AU - Taoka,Hideki, AU - Asakawa,Yasuyuki, AU - Kurasaki,Akiko, AU - Oharaseki,Toshiaki, AU - Takahashi,Kei, AU - Kubushiro,Kaneyuki, Y1 - 2011/01/27/ PY - 2011/1/29/entrez PY - 2011/1/29/pubmed PY - 2011/12/23/medline SP - 468 EP - 71 JF - The journal of obstetrics and gynaecology research JO - J. Obstet. Gynaecol. Res. VL - 37 IS - 5 N2 - Atypical polypoid adenomyoma is a rare uterine tumor composed of atypical endometrial glands, which often exhibit squamous metaplasia, and a cellular smooth muscle stroma. Although atypical polypoid adenomyoma is categorized as a benign lesion, it is reportedly associated with endometrial cancer, and it shows persistence and recurrence even after conservative medical treatment. We present a rare case of atypical polypoid adenomyoma that possibly underwent a serial pathological change from endometrial hyperplasia to carcinoma in a 40-year-old woman with no history of pregnancy. She was diagnosed with atypical polypoid adenomyoma during polypectomy surgery. After resecting the atypical polypoid adenomyoma, endometrial hyperplasia complex was detected. This condition eventually progressed from atypical hyperplasia complex to endometrial adenocarcinoma, and total abdominal hysterectomy was performed. A patient with atypical polypoid adenomyoma who wishes to preserve her fertility should be carefully monitored for endometrial carcinoma. If endometrial hyperplasia is detected in such a patient, a meticulous follow-up examination by performing endometrial biopsy is mandatory. SN - 1447-0756 UR - https://www.unboundmedicine.com/medline/citation/21272150/Case_of_atypical_polypoid_adenomyoma_that_possibly_underwent_a_serial_progression_from_endometrial_hyperplasia_to_carcinoma_ L2 - https://doi.org/10.1111/j.1447-0756.2010.01365.x DB - PRIME DP - Unbound Medicine ER -