A Case Report on Atypical Polypoid Adenomyoma with Extensive Morular Metaplasia

Atypical polypoid adenomyoma (APA) is a rare and benign endometrial polypoid lesion typically found in fertile age [1]. Atypical polypoid adenomyoma (APAM) is an uncommon uterine lesion composed of complex endometrioid glands with frequent squamous morular metaplasia and fibromuscular stroma [2]. Atypical Polypoid Adenomyoma was found on histopathological examination of endometrial tissue with polyp in a woman with abnormal uterine bleeding. Atypical Polypoid Adenomyoma as it is uncommon we present this case report. A 38 year old woman who presented with excessive vaginal bleeding with endometrial polyp underwent dilation and curettage and the histopathological examination of the endometrial polyp was consistent with ‘Atypical Polypoid Adenomyoma’ with extensive morular metaplasia. Immunohistochemical marker CD10 was done to establish the diagnosis of morular metaplasia. Patient subsequently underwent total abdominal hysterectomy. Among young nullipara women, conservative treatment is proposed despite the high recurrence rate and the association with endometrial cancer [1].