Fukami Tatsuya, Yoshikai Tomonori, Tsujioka Hiroshi, Tohyama Atsushi, Sorano Sumire, Matsuoka Sakiko, Yamamoto Hiroko, Nakamura Sumie, Goto Maki, Matsuoka Ryoei, Oya Masafumi, Torii Yoshikuni, Eguchi Fuyuki
Departments of Obstetrics and Gynecology, ASO Iizuka Hospital , Iizuka, Japan.
Departments of Radiology, ASO Iizuka Hospital , Iizuka, Japan.
Rare Tumors. 2016 Mar 21;8(1):6129. doi: 10.4081/rt.2016.6129.
Atypical polypoid adenomyoma (APAM) is a rare polypoid tumor of the uterus composed of atypical endometrial glands surrounded by smooth muscle. A 29-year-old nulligravida, was clinically diagnosed with endocervical myoma and underwent trans-uterine cervical resection with hysteroscope. The histopathological diagnosis of specimens was APAM. Eight months later, she diagnosed recurrent uterine tumor. The positron emission tomography (PET-CT) imaging showed an increased fluorodeoxyglucose uptake. She has performed hysterectomy and was diagnosed APAM. Therapy for APAM depends on multiple factors such as age at presentation and desire for childbearing among others. This is the first report of PET-CT findings in APAM.
非典型息肉样腺肌瘤(APAM)是一种罕见的子宫息肉样肿瘤,由被平滑肌包绕的非典型子宫内膜腺体组成。一名29岁未孕女性,临床诊断为宫颈肌瘤,接受了宫腔镜下经子宫宫颈切除术。标本的组织病理学诊断为APAM。八个月后,她被诊断为复发性子宫肿瘤。正电子发射断层扫描(PET-CT)成像显示氟脱氧葡萄糖摄取增加。她接受了子宫切除术,诊断为APAM。APAM的治疗取决于多种因素,如就诊时的年龄和生育意愿等。这是关于APAM的PET-CT表现的首例报告。