Adenoma malignum of the cervix

Case contributed by Jan Frank Gerstenmaier
Diagnosis certain

Presentation

This patient presented with profuse watery vaginal discharge.

Patient Data

Age: 40 years
Gender: Female

MRI pelvis

mri

There are multicystic lesions extending from the endocervical glands to the deep cervical stroma with solid components, forming an annular mass. 

The patient underwent hysterectomy. Histopathology confirms adenoma malignum

Case Discussion

Adenoma malignum can appear deceptively benign at histology and imaging alike, but the prognosis is generally unfavorable as it disseminates to the peritoneal cavity early, and response to chemo- and radiotherapy is poor.

Unfortunately no contrast was given in this case, but enhancement of the solid components would have been expected.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.