Case Report

Magnetic Resonance Imaging and Flexible Hysterofiberscopic Findings of a Uterine Adenofibroma: Case Report and Literature Review

Table 1

List of previously described patients with uterine adenofibroma.

Authors [reference number]Published yearAge (y)GravidaParaChief complaintLocationsMaximum diameter (cm)Initial examinationsInitial diagnosisTreatmentMitotic figures/10 HPFFollow-up period (years)Characteristics

Ober [1]1959NMNMNMAbnormal vaginal bleedingEndometriumNMNMNMTAHNMNM

Zaloudek and Norris [2]198146NMNMAbnormal vaginal bleedingEndometriumNMNMNMTAH,
BSO
210
79NMNMAbnormal vaginal bleedingEndometriumNMNMNMTAH,
BSO
29
71NMNMAbnormal vaginal bleedingEndometriumNMNMNMTAH,
BSO
18
60NMNMAbnormal vaginal bleedingEndometriumNMNMNMTAH,
BSO
35
62NMNMAbnormal vaginal bleedingEndometriumNMNMCarcinosarcomaTAH,
BSO,
radiation
24
73NMNMAbnormal vaginal bleedingEndometriumNMNMNMTAH,
BSO
24
84NMNMAbnormal vaginal bleedingEndometriumNMNMNMTAH,
BSO
11.5
48NMNMAbdominal painEndometriumNMNMNMTAH,
BSO
31
70NMNMAbnormal vaginal bleedingEndometriumNMNMNMTAH,
BSO
1Died of other disease
66NMNMAbnormal vaginal bleedingEndometriumNMNMNMTAH,
BSO
2Died of other disease

Altaras et al. [3]19847811Abnormal vaginal bleedingEndometrium8BiopsyAdenofibromaTAH,
BSO
0NM

Clement and Scully [4]19907022Abnormal vaginal bleedingEndometrium4.5UltrasonographyEndometrial adenocarcinomaTAH,
BSO
<13.5Myometrial invasion
5142Abdominal pain, vomitingEndometriumNMNMNMTAH,
BSO
<13.25Myometrial invasion, intravenous invasion

Seltzer et al. [5]19902800Abnormal vaginal bleeding, abdominal painEndometriumNMLaparoscope,
hysteroscope,
biopsy
Endometrial polypTAH,
LSO
(after recurrence)
<13Recurrence 2 years after excision

Agarwal et al. [6]199138NMmultiHypermenorrhea, low back painEndometrium, endocervix12NMUterine myomaTAH<12Arising from the uterine body and the endocervix

Miller and McClure [7]19926822Abnormal vaginal bleeding, abdominal painEndometrium12Ultrasonography,
CT
Uterine myomaTAH,
BSO,
radiation
00.75Involvement of adenocarcinoma

Gemer et al. [8]199548NMNMNoneUterine serosa6UltrasonographyNMTAH,
RSO
0NMInvasion through the uterine serosa to the right adnexa

Horie et al. [9]199567NM0Abdominal painEndometrium6Ultrasonography,
CT
NMTAH,
BSO
NM2

Huang et al. [10]19967044Abnormal vaginal bleedingEndometrium7Ultrasonography,
biopsy
Myomatous polypTAH,
BSO
NMNMTreated with tamoxifen
5663Abnormal vaginal bleedingEndometrium5.5Ultrasonography,
biopsy
NMTAHNMNMTreated with tamoxifen

Lee et al. [11]199831NM0Abdominal vaginal bleeding, hypermenorrheaEndometriumNMCT, MRI, biopsyAdenofibroma or adenosarcomaTAHNMNM

Oshima et al. [12]20026911Abnormal vaginal bleedingEndometrium5Ultrasonography, CT,
MRI, biopsy
Endometrial polypTAHNMNMTreated with tamoxifen

Haberal et al. [13]200555NMNMAbnormal vaginal bleeding, anemiaEndocervix7Ultrasonography, biopsyNMTAH,
BSO
NMNM

Konishi et al. [14]200642NM0Abnormal vaginal bleeding, anemiaEndometrium8Ultrasonography, CT,
MRI, biopsy
Mullerian mixed tumorTAH,
BSO
0NM

Bettaieb et al. [15]20073100Abnormal vaginal bleedingEndometrium13UltrasonographyNMExcision<14
5586Abnormal vaginal bleedingEndometrium2Ultrasonography,
hysteroscope
NMExcision with hysteroscope<12
6344Uterine prolapseEndometrium5NMUterine prolapseTAH<1Not available

Skorupskaite et al. [16]20116011Abnormal vaginal bleeding, abdominal painEndometrium4Ultrasonography,
hysteroscope, biopsy
AdenofibromaTLH,
RSO
<15

Navada et al. [17]201221NMNMAbnormal vaginal bleeding, abdominal painEndocervix14Ultrasonography,
CT, biopsy
AdenofibromaTAH,
BSO
0NM

Shi et al. [18]201545NMNMNoneEndometrium, right ovary6.5 & 6.5Ultrasonography,
biopsy
Endometrial hyperplasiaTAH,
BSO
<11Treated with tamoxifen

Present case7500NoneEndometrium3Ultrasonography,
MRI, hysterofiberscopy, biopsy
AdenofibromaTAH,
BSO
<11Coexisting endometrial polyp

NM, not mentioned; TAH, total abdominal hysterectomy; BSO, bilateral salpingo-oophorectomy; LSO, left salpingo-oophorectomy; RSO, right salpingo-oophorectomy; TLH, total laparoscopic hysterectomy; CT, computed tomography; MRI, magnetic resonance imaging; and HPF, high power field.