The Ultrasound and MRI Findings of Uterine Adenofibroma: A Case Report.
- Author:
Hyun Jung KIM
1
;
Sung Eun RHA
;
Jae Young BYUN
;
Ah won LEE
Author Information
1. Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. serha@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Adenofibroma;
Uterus;
Ultrasonography;
Magnetic resonance imaging
- MeSH:
Adenofibroma;
Adult;
Endometrium;
Epithelium;
Female;
Humans;
Magnetic Resonance Imaging;
Magnetic Resonance Spectroscopy;
Mixed Tumor, Mullerian;
Uterus;
Vagina
- From:Journal of the Korean Society of Medical Ultrasound
2011;30(3):193-196
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Adenofibroma is an extremely rare benign mullerian 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.
