Atypical polypoid adenomyoma in a patient with hyperprolactinemia

Authors


Address correspondence and reprint requests to: Kaei Nasu, MD, PhD, Department of Obstetrics and Gynecology, Oita Medical University, Hasama-machi, Oita 879–5593, Japan. E-mail: nasu@oita-med.ac.jp.

Abstract

Abstract. Nasu K, Miyazaki T, Takai N, Miyakawa I. Atypical polypoid adenomyoma in a patient with hyperprolactinemia.

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 × 3 × 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.

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