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Journal of Korean Society of Ultrasound in Medicine 2011 ; 30 (3) : p.193-196

The Ultrasound and MRI Findings of Uterine Adenofibroma: A Case Report
Hyun Jung Kim, MD1, Sung Eun Rha, MD1, Jae Young Byun, MD1, Ah-won Lee, MD2
Departments of 1Radiology and 2Hospital Pathology, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
Adenofibroma is an extremely rare benign m¨ullerian mixed tumor composed of epithelium and mesenchymal cells. Most uterine adenofibromas occur in the endometrium, but they rarely protrude into the vagina. To date, only a few such cases with the imaging findings have been reported. Therefore, we report here on the sonographic and magnetic resonance (MR) imaging findings of a case of endometrial adenofibroma protruding into the vaginal cavity in a 28-year-old woman. The uterine adenofibroma appeared as a large intracavitary echogenic mass containing multiple small internal cysts, and it was distending the vaginal cavity on transrectal sonography. T2- weighted MR images showed a large intracavitary mass with heterogeneous high signal intensity protruding into the vaginal cavity. On gadolinium-enhanced T1-weighted MR images, heterogeneous septa-like enhancement was noted in the mass. Although uterine adenofibroma is extremely rare, adenofibroma can be suggested as a possible diagnosis when an intracavitary uterine mass, with multiple internal small cystic components and enhancing septa-like structures, is protruding into the vaginal cavity on imaging.
Keyword : Adenofibroma; Uterus; Ultrasonography; Magnetic resonance imaging
pdf파일 : 193-196김현정.pdf
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