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
Susheela Gayam
Department of Obstetrics and Gynaecology, Vijay Marie Hospital, Hyderabad, Telangana, India.
Geeta Rani
Department of Obstetrics and Gynaecology, Vijay Marie Hospital, Hyderabad, Telangana, India.
Madhavi Maddali
Department of Pathology Histopathology and Cytology Laboratory, Golconda X Roads, Hyderabad, Telangana, India.
Srinivas Maddali
Department of Pathology Histopathology and Cytology Laboratory, Golconda X Roads, Hyderabad, Telangana, India.
Asma Tabassum
Department of Obstetrics and Gynaecology, Vijay Marie Hospital, Hyderabad, Telangana, India.
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