Mucinous minimal deviation endocervical adenocarcinoma, also known as adenoma malignum, is a rare subtype of mucinous adenocarcinoma of the cervix; adenoma malignum is about 1-3% of endocervical adenocarcinoma. It shows no ethnic predilection and can present in a wide age range with average between the 5th and 6th decades of life. It can be associated with Peutz-Jeghers syndrome. Patients often present with watery or mucinous vaginal discharge and/or irregular uterine bleeding. The cervix may be firm on physical exam. Endocervical biopsies can be misleading due to the benign pathologic appearance or may be normal, which may lead to misdiagnosis. The main treatment for this condition is surgical resection.
|Oklahoma State Medical Proceedings
|Published - 8 Nov 2019
- uterine mass
- adenoma malignum