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The Importance of Correct Radiological Diagnosis in (Adenoma Malignum): A Case Report Publisher



Shirali E1 ; Yarandi F1 ; Mood NI2 ; Rahmani M1 ; Ghaemi M3
Authors
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Authors Affiliations
  1. 1. Department of Gynecology & Oncology, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Pathology, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Vali-e-Asr Reproductive Health Research Center, Tehran University of Medical Sciences, Tehran, Iran

Source: Oxford Medical Case Reports Published:2021


Abstract

Minimal deviation adenocarcinoma (MDA) of the cervix otherwise known as adenoma malignum is a rare variation of cervical adenocarcinoma. Radiological evaluation plays a great role to ensure an early diagnosis. Here, we report a 48-year-old woman who was presented with a mucoid vaginal discharge 10 years after a supracervical hysterectomy. Despite normal biopsy and cytology,magnetic resonance imaging showed a large cervix and multiple cervical cysts that considered adenoma malignum as a differential diagnosis. She underwent surgery and the pathology confirmed the adenoma malignum. In conclusion, radiologists, as well as gynecologists, and also pathologists may consider MDA among the differential diagnosis in patients with a vaginal discharge and multicysts in the cervix even after hysterectomy despite normal cytology and biopsy. © The Author(s) 2021.