Adenoma malignum of the cervix

Case contributed by Dr Jan Frank Gerstenmaier

Presentation

This patient presented with profuse watery PV discharge.

Patient Data

Age: 40 years old
Gender: Female

MRI pelvis

Modality: MRI

There are multicystic lesions extending from the endocervical glands to the deep cervical stroma with solid components, forming an annular mass. 

The patient underwent hysterectomy. Histopathology confirms adenoma malignum

Case Discussion

Adenoma malignum can appear deceptively benign at histology and imaging alike, but the prognosis is generally unfavourable as it disseminates to the peritoneal cavity early, and response to chemo- and radiotherapy is poor.

Unfortunately no contrast was given in this case, but enhancement of the solid components would have been expected.

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Case Information

rID: 24460
Case created: 18th Aug 2013
Last edited: 28th Feb 2016
System: Gynaecology
Inclusion in quiz mode: Included

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