2022-RA-215-ESGO Clinical cases of atypical polypoid adenomyoma: single- center report

Introduction/Background Atypical polypoid adenomyoma (APA) is a rare intrauterine pathological finding, which can often be misdiagnosed as malignancy. It mostly affects premenopausal women. Therefore, treatment predominantly conservative including hysteroscopic transcervical resection (TCR), dilatation and curettage (D&C), hormonal therapy. Due to the high recurrence rate, most effective for perimenopausal postmenopausal women hysterectomy. Mortality rates have not been reported. Following study analyzed four cases of APA, diagnosed after TCR pathology in single center. Methodology Clinicopathological characteristics APA were assessed by retrospective analysis medical records containing patients age, parity, body mass index, menstrual status, symptoms, associated pathology, treatment. Results Four confirmed within specimens provided (figure 1). The ages varied between 31 52 years; two perimenopausal. Three underwent previous endometrial sampling, revealed either polyp or simple hyperplasia (table 1.). A 31-year-old patient with 5 mm large intracavitary abnormality on ultrasound, TCR. was completely removed successful pregnancy achieved 14 months later. Two delivery, normal histopathological specimen. 38-year-old presented infertility abnormal uterine bleeding (AUB). After started assisted reproductive frequent ultrasound monitoring. For aged 48 year, who (largest diameter 18 mm) AUB, hysterectomy recommended confirmation Clinical symptoms included AUB. Transvaginal ultrasonography lesions all patients, largest glandular pathology. Conclusion In our institution, are being conservatively treated one case pregnancy. rarity further observation will evaluate success $$MISSING OR BAD GRAPHIC SPECIFICATION (775D89EE-4F2F-4854–9973–8506F2BAC2EC) $$