A case of polypoid adenomyoma of the uterine body associated with adenofibroma of the uterine endocervix.

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We encountered a patient with uterine polypoid adenomyoma associated with adenofibroma that has been rarely reported. When she underwent abdominal myomectomy, an irregular hyperplastic tissue mass accompanied by necrosis and polyps was observed in the uterine cavity. Histological examination during operation revealed a benign mixed tumor of epithelial and non-epithelial origin. However, cytological examination showed a few atypical tumor cells of non-epithelial origin, and simple total hysterectomy was perfomed. Resected uterine specimens demonstrated combination of benign tumors. Small multiple polyps of the uterine body showed endometrial glands and hyperplasia of fibroblasts and smooth muscle fibers, which were diagnosed to be adenomyoma by immunohistological staining using an anti-desmin antibody. The tumor of the endocervix was diagnosed to be adenofibroma with phyllode papillary proliferation consisting of cervical glands and fibroblasts. [Adv Obstet Gynecol 49 (5); 573---577.1997 (H9.9)]
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