Atypical polypoid adenomyoma in a patient with hyperprolactinemia

• Published in: International journal of gynecological cancer Vol. 11; no. 4; p. 326
• Main Authors: Nasu, K, Miyazaki, T, Takai, N, Miyakawa, I
• Format: Journal Article
• Language: English
• Published: England 01-07-2001
• Subjects: Adenomyoma - complications; Adenomyoma - diagnosis; Adenomyoma - diagnostic imaging; Adenomyoma - pathology; Adenomyoma - surgery; Adult; Diagnosis, Differential; Dopamine Agonists - therapeutic use; Female; Humans; Hyperprolactinemia - complications; Hyperprolactinemia - diagnosis; Hyperprolactinemia - drug therapy; Lisuride - analogs & derivatives; Lisuride - therapeutic use; Ultrasonography; Uterine Hemorrhage - etiology; Uterine Neoplasms - complications; Uterine Neoplasms - diagnosis; Uterine Neoplasms - diagnostic imaging; Uterine Neoplasms - pathology; Uterine Neoplasms - surgery
• ISSN: 1048-891X
• DOI: 10.1046/j.1525-1438.2001.011004326.x

We report a case of an atypical polypoid adenomyoma in a patient with hyperprolactinemia. A 23-year-old Japanese woman was admitted complaining of atypical genital bleeding. Specula examination revealed a walnut-size polypoid mass extruding from the cervix. The patient was oligomenorrheac, and endocrine analysis showed hyperprolactinemia. Transvaginal ultrasonography and magnetic resonance imaging revealed an endometrial polypoid mass (4 x 3 x 3 cm) arising from the lower segment of the uterine corpus. The pathologic diagnosis of the tumor after polypectomy was atypical polypoid adenomyoma. It is suggested that ovarian dysfunction caused by hyperprolactinemia may be involved in the pathogenesis of atypical polypoid adenomyoma in the present case.