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Mullerian adenosarcoma of the uterine cervix misdiagnosed as an endocervical polyp on magnetic resonance imaging and two preoperative consecutive biopsies: A diagnostic challenge

  • Eun Hee Yu1,†
  • Yong Jung Song1,†
  • Seul Yi Lee1
  • Seo Yoon Hwang1
  • Nam Kyung Lee2
  • Kyung Un Choi3
  • Dong Soo Suh1,4
  • Ki Hyung Kim1,4,*,

1Department of Obstetrics and Gynecology, Pusan National University School of Medicine, Busan 49241, Republic of Korea

2Department of Radiology, Pusan National University School of Medicine, Busan 49241, Republic of Korea

3Department of Pathology, Pusan National University School of Medicine, Busan 49241, Republic of Korea

4Biomedical Research Institute, Pusan National University Hospital, Busan 49241, Republic of Korea

DOI: 10.31083/j.ejgo.2020.06.2095 Vol.41,Issue 6,December 2020 pp.1045-1049

Submitted: 22 March 2019 Accepted: 18 June 2019

Published: 15 December 2020

*Corresponding Author(s): Ki Hyung Kim E-mail: ghkim@pusan.ac.kr

† These authors contributed equally.

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Abstract

Mullerian adenosarcoma of the uterine cervix generally displays cervical polyps and can be often misdiagnosed as benign endocervical polyps both clinically and pathologically. A 52-year-old woman presented with a two-month history of postmenopausal bleeding. Pelvic examination revealed a large polyp-like mass protruding from the cervical ostium. Two preoperative consecutive biopsies showed a histologic diagnosis consistent with an endocervical polyp. Pelvic magnetic resonance imaging (MRI) depicted a lobulated well- en-hancing endocervical mass, suggestive of an endocervical polyp based on the apparent diffusion coefficient (ADC) value. The patient was subjected to total hysterectomy with bilateral salpingectomy. Microscopically, the tumor was composed of epithelial and stromal components. The final pathologic diagnosis was Mullerian adenosarcoma of the cervix. The authors presented an unusual case that demonstrated an endocervical polyp on magnetic resonance imaging and two consecutive biopsies preoperatively.


Keywords

Endocervical polyp; Mullerian adenosarcoma; Uterine cervix.


Cite and Share

Eun Hee Yu,Yong Jung Song,Seul Yi Lee,Seo Yoon Hwang,Nam Kyung Lee,Kyung Un Choi,Dong Soo Suh,Ki Hyung Kim. Mullerian adenosarcoma of the uterine cervix misdiagnosed as an endocervical polyp on magnetic resonance imaging and two preoperative consecutive biopsies: A diagnostic challenge. European Journal of Gynaecological Oncology. 2020. 41(6);1045-1049.

URL:

https://www.ejgo.net/articles/10.31083/j.ejgo.2020.06.2095

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