Adenoma Malignum of the Cervix; Minimal Deviation

  • Yoon Cho Oklahoma State University Center for Health Sciences
  • Daniel Tritz Oklahoma State University Center for Health Sciences College of Osteopathic Medicine (OSU-COM)
  • Brooke White Oklahoma State University Center for Health Sciences
  • Donald von Borstel Oklahoma State University Center for Health Sciences
Keywords: Adenocarcinoma, Uterine mass, Adenoma malignum

Abstract

Mucinous minimal deviation endocervical adenocarcinoma, also known as adenoma malignum, is a rare subtype of mucinous adenocarcinoma of the cervix; adenoma malignum is about 1-3% of endocervical adenocarcinoma. It shows no ethnic predilection and can present in a wide age range with average between the 5th and 6th decades of life. It can be associated with Peutz-Jeghers syndrome. Patients often present with watery or mucinous vaginal discharge and/or irregular uterine bleeding. The cervix may be firm on physical exam. Endocervical biopsies can be misleading due to the benign pathologic appearance or may be normal, which may lead to misdiagnosis. The main treatment for this condition is surgical resection.

Author Biographies

Yoon Cho, Oklahoma State University Center for Health Sciences
Diagnostic Radiology Resident PGY 3
Daniel Tritz, Oklahoma State University Center for Health Sciences College of Osteopathic Medicine (OSU-COM)
4th year Medical Student
Brooke White, Oklahoma State University Center for Health Sciences
Diagnostic Radiology Attending- Breast fellowship trained
Donald von Borstel, Oklahoma State University Center for Health Sciences
Diagnostic Radiology Attending- MSK fellowship trained

References

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Published
2019-11-08
Section
Medical