What is atypical polypoid Adenomyoma?
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Atypical polypoid adenomyoma (APA) is a rare uterine tumor composed of atypical endometrial glands surrounded by smooth muscle tissue bundles. It is intended as benign epithelial and mesenchymal neoplasm, but it can lead to diagnostic difficulties given the degree of atypia that distinguishes it.
How rare is atypical polypoid Adenomyoma?
Atypical polypoid adenomyoma (APA) is a rare uterine lesion, which was firstly reported by Mazur in 1981. Only about 230 cases have been reported up to now.
What is an adenomyoma?
Adenomyoma is a benign polypoid tumor arising in the endometrium and characterized by epithelial glands (usually endometrial) associated with a stromal component consisting mainly or exclusively of smooth muscle. 27. Adenomyomas can occur at any age. The glands are noncomplex and lack cytologic atypia.
Can adenomyosis be diagnosed by MRI?
MRI is an accurate tool for the diagnosis of adenomyosis and associated conditions. Adenomyosis can be diffuse or focal. The most established MRI finding is thickening of junctional zone exceeding 12 mm. High-signal intensity myometrial foci on T2- or T1-weighted images are also characteristic.
What is a transcervical resection?
Transcervical resection of the endometrium (TCRE) is an operation to treat heavy periods, performed under general anaesthetic. The operation involves passing a fine telescope up through the cervix (neck of the womb) into the uterus (womb).
What is disordered proliferative endometrium?
“Disordered proliferative endometrium” is a somewhat vague term that generally indicates the unusual growth of endometrial cells. The term can refer to a form of simple endometrial hyperplasia — or the abnormal thickening of the endometrial lining — but it can indicate a more serious problem in some cases.
Is adenomyoma serious?
Though adenomyosis is considered a benign (not life-threatening) condition, the frequent pain and heavy bleeding associated with it can have a negative impact on a woman’s quality of life.
Is adenomyoma benign?
Adenomyoma is a benign lesion with endocervical-type mucinous glands and myomatous stroma. It is well-circumscribed and composed of glands with a lobular arrangement lined by bland epithelium and surrounded by bland, nondesmoplastic myomatous stroma.
What does adenomyosis look like on an MRI?
The most common lesion of adenomyosis seen on MRI is a low–signal-intensity area on T2-weighted images that often gives the appearance of diffuse or focal widening of the junctional zone. This hypointense area is smooth-muscle hyperplasia accompanying the heterotopic endometrial glands.
What happens when adenomyosis goes untreated?
Adenomyosis Gets Worse Over Time Adenomyosis is a progressive disease, which means that it may get worse over time. This is a chronic condition that needs to be managed. If left untreated it may lead to infertility or other problems such as pelvic organ prolapse.