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The Ultrasound and MRI Findings of Uterine
Adenofibroma: A Case Report |
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Hyun Jung Kim, MD1, Sung Eun Rha, MD1, Jae Young Byun, MD1,
Ah-won Lee, MD2 |
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Departments of 1Radiology and 2Hospital Pathology, Seoul St. Mary’s Hospital, College of
Medicine, The Catholic University of Korea, Seoul, Korea |
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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. |
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Keyword : Adenofibroma; Uterus; Ultrasonography; Magnetic resonance imaging |
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pdf파일 : 193-196김현정.pdf
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