MRI of prolapsed polypoid adenomyoma: Expanding the differential diagnosis for the broccoli sign
MRI of prolapsed polypoid adenomyoma: Expanding the differential diagnosis for the broccoli sign
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DOI：
10.1016/j.clinimag.2018.08.001
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发表时间：
2018-11-01
期刊：
影响因子：
2.1
通讯作者：
Coakley, Fergus V.
中科院分区：
文献类型：
--
作者：
Patel, Neel;Hatfield, Joanna;Coakley, Fergus V.
我们报告了一位44岁的健康绝经前妇女，她在体检时表现出三个月的阴道出血史和5厘米的阴道肿块。超声检查无诊断作用。盆腔MRI示阴道内有一6厘米的软组织肿块，从子宫腔脱出，可见连接柄，称为西兰花征。最初的放射鉴别诊断包括子宫脱垂或子宫平滑肌瘤。手术病理显示为息肉样腺肌瘤。我们认为息肉样腺肌瘤应列入有西兰花征的子宫脱垂肿瘤的鉴别诊断。
We report a 44 year old previously healthy premenopausal woman who presented with a three month history of vaginal bleeding and a 5 cm vaginal mass obscuring the cervix on physical examination. Ultrasound evaluation was non diagnostic. Pelvic MRI demonstrated a 6 cm soft tissue mass in the vagina prolapsed from the uterine cavity with a visible connecting stalk, which is termed the broccoli sign. The initial radiological differential diagnosis included prolapsed uterine malignancy or leiomyoma. Surgical pathology revealed a polypoid adenomyoma. We conclude polypoid adenomyoma should be included in the differential diagnosis for prolapsed uterine tumor demonstrating the broccoli sign.