Department of Radiology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-0042, Japan.
Jpn J Radiol. 2012 Aug;30(7):606-11. doi: 10.1007/s11604-012-0095-2. Epub 2012 Jun 12.
Atypical polypoid adenomyoma (APA) of the uterus is a rare neoplasm that predominantly occurs in premenopausal woman. It typically appears as a polypoid mass with a mixture of hyperintensity and hypointensity on T2-weighted MRI. We report a case of a 45-year-old woman with multiple APAs (33 and 22 mm). She underwent hysteroscopic resection. The diagnosis of APAs was histologically made by irregularly proliferating atypical endometrial glands that were admixed with a stroma. This is the first case of multiple APAs with radiological findings. It is important to recognize the possible multiplicity of APA for proper diagnosis.
子宫非典型息肉样腺肌瘤（APA）是一种罕见的肿瘤，主要发生在绝经前妇女中。它通常表现为息肉样肿块，在 T2 加权 MRI 上呈现混杂的高信号和低信号。我们报告了一例 45 岁女性，患有多个 APA（33 和 22mm）。她接受了宫腔镜切除术。APA 的诊断是通过不规则增生的非典型子宫内膜腺体与间质混合而组织学做出的。这是首例具有放射学表现的多发性 APA。正确诊断需要认识到 APA 可能具有多发性。
