Atypical polypoid adenomyoma (APA) is a benign endometrial polypoid tumour that commonly occurs in women of reproductive age [1]. Atypical polypoid adenomyoma (APAM) is a rare uterine tumour characterised by complicated endometrioid glands and squamous morular metaplasia with fibromuscular stroma [2]. On histological evaluation of endometrial tissue with polyp in a lady with abnormal uterine haemorrhage, an atypical polypoid adenomyoma was discovered. We provide this case report since atypical polypoid adenomyoma is uncommon. The histological analysis of an endometrial polyp in a 38-year-old woman who presented with severe vaginal bleeding and endometrial polyp underwent dilation and curettage, and the endometrial polyp was consistent with 'Atypical Polypoid Adenomyoma' with significant morular metaplasia. The diagnosis of morular metaplasia was confirmed using the immunohistochemical marker CD10. After that, the patient had a total abdominal hysterectomy. Despite the high recurrence rate and link to endometrial cancer, cautious therapy is recommended for young nullipara women [1].
Author (S) Details
Sorin Cimpean
Iris Hospitals South, Brussels, Belgium.
Ion Surdeanu
Iris Hospitals South, Brussels, Belgium.
Mehdi El Chouckri
Iris Hospitals South, Brussels, Belgium.
Mohamad Rakka
Iris Hospitals South, Brussels, Belgium.
Jordan Marcelis
Iris Hospitals South, Brussels, Belgium.
Hamid El Khaddouri
Iris Hospitals South, Brussels, Belgium.
Sorin Cimpean
Iris Hospitals South, Brussels, Belgium.
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