Atypical Polypoid Adenoma – A Histopathological Enigma

Rakesh Rajiv Patkar; Shilpa Mishra

doi:10.5455/IJMRCR.172-1683296546

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Case Report
Online Published: 30 May 2024

Int J Med Rev Case Rep. 2023; 7(Reports in Neurology, Neurosurgery, Psychiatry and Neurosciences):

doi: 10.5455/IJMRCR.172-1683296546

Atypical Polypoid Adenoma – A Histopathological Enigma

Rakesh Rajiv Patkar , Shilpa Mishra.

Abstract
Atypical polypoid adenomyoma is an infrequent intrauterine polypoidal lesion. As per WHO classification of female genital tumors published in 2020, APA is classified as a mixed epithelial and mesenchymal tumor. The epithelial component comprises endometrioid-type glands with complex architecture, mild cytological atypia and fibromyomatous stroma with morular metaplasia. We present a case of a 32-year-old female with primary infertility; hysteroscopy showed a smooth polypoidal lesion over anterior wall of uterus. Complete transcervical resection of the lesion was done. Histopathology showed all the prementioned features of atypical polypoid adenomyoma and there was no other associated pathology. Since the patient desired fertility preservation, a conservative management plan with follow up was done. This lesion mostly involves women of fertile age group, hence differentiation from pre-malignant/malignant lesions is of utmost importance as fertility preservation can be done for this lesion. In older patients where fertility preservation is not required hysterectomy is advised in view of risk of recurrence.

Key words: Atypical polypoid adenomyoma, morular metaplasia, endometrial polyps.

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Pubmed Style

RRP, Mishra S, . Atypical Polypoid Adenoma – A Histopathological Enigma. Int J Med Rev Case Rep. Online First: 30 May, 2024. doi:10.5455/IJMRCR.172-1683296546

Web Style

RRP, Mishra S, . Atypical Polypoid Adenoma – A Histopathological Enigma. https://www.mdpub.net/?mno=152251 [Access: September 12, 2024]. doi:10.5455/IJMRCR.172-1683296546

AMA (American Medical Association) Style

RRP, Mishra S, . Atypical Polypoid Adenoma – A Histopathological Enigma. Int J Med Rev Case Rep. Online First: 30 May, 2024. doi:10.5455/IJMRCR.172-1683296546

Vancouver/ICMJE Style

RRP, Mishra S, . Atypical Polypoid Adenoma – A Histopathological Enigma. Int J Med Rev Case Rep, [cited September 12, 2024]; Online First: 30 May, 2024. doi:10.5455/IJMRCR.172-1683296546

Harvard Style

, R. R. P., Mishra, S. & (2023) Atypical Polypoid Adenoma – A Histopathological Enigma. Int J Med Rev Case Rep, Online First: 30 May, 2024. doi:10.5455/IJMRCR.172-1683296546

Turabian Style

, Rakesh Rajiv Patkar, Shilpa Mishra, and . 2023. Atypical Polypoid Adenoma – A Histopathological Enigma. International Journal of Medical Reviews and Case Reports, Online First: 30 May, 2024. doi:10.5455/IJMRCR.172-1683296546

Chicago Style

, Rakesh Rajiv Patkar, Shilpa Mishra, and . "Atypical Polypoid Adenoma – A Histopathological Enigma." International Journal of Medical Reviews and Case Reports Online First: 30 May, 2024. doi:10.5455/IJMRCR.172-1683296546

MLA (The Modern Language Association) Style

APA (American Psychological Association) Style

, R. R. P., Mishra, S. & (2023) Atypical Polypoid Adenoma – A Histopathological Enigma. International Journal of Medical Reviews and Case Reports, Online First: 30 May, 2024. doi:10.5455/IJMRCR.172-1683296546

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