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Uterine adenomatoid tumor associated with lymph node lesions: a case report

Abstract

We report a case of uterine adenomatoid tumor (AT) with regional lymph node involvement in a 49-year-old woman. Magnetic resonance imaging revealed an aggregated cystic mass in the posterior uterine wall with partial protrusion of the tumor outside the uterus, and cystic masses of same characteristics in the bilateral obturator and right common iliac lymph nodes. FDG PET/CT revealed no significant FDG uptake in the uterine and lymph node lesions. Taking possible lymph node metastasis into consideration, hysterectomy and lymph node biopsy were performed and it revealed AT of the uterus and the lymph nodes histopathologically.

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References

  1. 1.

    Sangoi AR, McKenney JK, Schwartz EJ, et al. (2009) Adenomatoid tumors of the female and male genital tracts: a clinicopathological and immunohistochemical study of 44 cases. Mod Pathol 22: 1228-1235

  2. 2.

    Craig JR, Hart WR (1979) Extragenital adenomatoid tumor: evidence for mesothelial theory of origin. Cancer 43: 1678-1681

  3. 3.

    Plaza JA, Dominguez F, Suster S (2004) Cystic adenomatoid tumor of the mediastinum. Am J Surg Pathol 28: 132-138

  4. 4.

    Kaplan MA, Tazelaar HD, Hayashi T, et al. (1996) Adenomatoid tumors of the pleura. Am J Surg Pathol 20: 1219-1223

  5. 5.

    Travis WD, Lack EE, Azumi N, et al. (1990) Adenomatoid tumor of the adrenal gland with ultrastructural and immunohistochemical demonstration of a mesothelial origin. Arch Pathol Lab Med 114: 722-724

  6. 6.

    Overstreet K, Wixom C, Shabaik A, et al. (2003) Adenomatoid tumor of the pancreas: a case report with comparison of histology and aspiration cytology. Mod Pathol 16: 613-617

  7. 7.

    Natarajan S, Luthringer DJ, Fishbein MC (1997) Adenomatoid tumor of the heart: report of a case. Am J Surg Pathol 21: 1378-1380

  8. 8.

    Isotalo PA, Nascimento AG, Trastek VF, et al. (2003) Extragenital adenomatoid tumor of a mediastinal lymph node. Mayo Clin Proc 78: 350-354

  9. 9.

    Harada S, Okumura Y, Kaida K (2003) Multicentric adenomatoid tumors involving uterus, ovary and appendix. J Obstet Gynacol Res 29(4): 234-238

  10. 10.

    Golden A, Ash J (1945) Adenomatoid tumors of the genital tract. Am J Pathol 25: 63-80

  11. 11.

    Mackay B, Bennington JL, Skoglund RW (1971) The adenomatoid tumor: fine structural evidence for a mesothelial origin. Cancer 27: 109-115

  12. 12.

    Taxy JB, Battifora H, Oyasu R (1974) Adenomatoid tumors: a light microscopic, histochemical, and ultrastructural study. Cancer 34: 306-316

  13. 13.

    Quigley JC, Hart WR (1981) Adenomatoid tumors of the uterus. Am J Clin Pathol 76: 627-635

  14. 14.

    Mittal PK, Abdalla AS, Chatterjee A, et al. (2018) Spectrum of Extratesticular and Tsticular Pathologic Conditions at Scrotal MR Imaging. RadioGraphics 38: 806-830

  15. 15.

    Palacios J, Manrique AS, Villaespesa AR, et al. (1991) Cystic adenomatoid tumor of the uterus. Int J Gynecol Pathol 10: 296-301

  16. 16.

    Kim JY, Jung K, Sung NK, et al. (2002) Cystic adenomatoid tumor of the uterus. AJR Am J Roentgenol 179:1068-1070

  17. 17.

    Nogales FF, Isaac MA, Hardisson D, et al. (2002) Adenomatoid tumors of the uterus: an analysis of 60 cases. Int J Gynecol Pathol 21: 34-40

  18. 18.

    Bisset DL, Morris JA, Fox H (1988) Giant cystic adenomatoid tumour (mesothelioma) of the uterus. Histopathology 12: 555-558

  19. 19.

    Christensen C (1990) Adenomatoid tumours of the uterus. Eur J Gynecol Oncol 11: 85-89

  20. 20.

    Livingston EG, Guis MS, Pearl ML, et al. (1992) Diffuse adenomatoid tumor of the uterus with a serosal papillary cystic component. Int J Gynecol Pathol 11: 288-292

  21. 21.

    Rosa GD, Boscaino A, Terracciano LM, et al. (1992) Giant adenomatoid tumors of the uterus. Int J Gynecol Pathol 11: 156-160

  22. 22.

    Huang CC, Chang DY, Chen CK, et al. (1995) Adenomatoid tumor of the female genital tract. Int J Gynecol Obstet 50: 275-280

  23. 23.

    Schwartz EJ, Longacre TA (2004) Adenomatoid tumors of the female and male genital tract. J Gynecol Pathol 23: 123-128

  24. 24.

    Kalidindi M, Odejinmi F (2010) Laparoscopic excision of uterine adenomatoid tumor: two cases and literature review. Arch Gynecol Obstet 281: 311-315

  25. 25.

    Moyle PL, Kataoka MY, Nakai A, et al. (2010) Nonovarian Cystic Lesions of the Pelvis. RadioGraphics 30: 921-938

  26. 26.

    Park GE, Rha SE, Oh SN, et al. (2016) Ultrasonographic findings of low-grade endometrial stromal sarcoma of the uterus with a focus on cystic degeneration. Ultrasonography 35: 124-130

  27. 27.

    Holzmann C, Saager C, Mechtersheimer G, et al. (2018) Malignant transformation of uterine leiomyoma to myxoid leiomyosarcoma after morcellation associated with ALK rearrangement and loss of 14q. Oncotarget 9(45); 27595-27604

  28. 28.

    Youngs LA, Taylor HB (1967) Adenomatoid tumors of the uterus and fallopian tube. Am J Clin Pathol 48: 536-545

  29. 29.

    Srigley JR, Colgan TJ (1988) Multifocal and diffuse adenomatoid tumor involving uterus and fallopian tube. Ultrastruct Pathol 12: 351-355

  30. 30.

    Clement PB, Young RH, Oliva E, et al. (1996) Hyperplastic mesothelial cells within abdominal lymph nodes: mimic of metastatic ovarian carcinoma and serous borderline tumor – a report of two cases associated with ovarian neoplasms. Mod Pathol 9: 879-886

  31. 31.

    Isotalo PA, Veinot JP, Jabi M (2000) Hyperplastic mesothelial cells in mediastinal lymph node sinuses with extranodal lymphatic involvement. Arch Pathol Lab Med 124: 609-613

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Correspondence to Yuya Wakita.

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Wakita, Y., Takahama, J., Yamauchi, S. et al. Uterine adenomatoid tumor associated with lymph node lesions: a case report. Abdom Radiol (2020). https://doi.org/10.1007/s00261-020-02439-0

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Keywords

  • Adenomatoid tumor
  • Uterus
  • Lymph node