腹腔鏡/子宮鏡にて複雑型子宮内膜異型増殖症を伴う子宮ポリープ状異型腺筋腫(APAM)と診断した1例

抄録

  Atypical polypoid adenomyomas (APAMs) are rare uterine tumors that occur predominantly in premenopausal women. They are benign mixed epithelial and mesenchymal tumors; however, they may recur after treatment, and may coexist with complex atypical endometrial hyperplasia (C-AEH) and endometrial carcinoma.

  A 36-year-old woman presented to our facility with infertility and intrauterine tumor. She underwent transcervical resection and laparoscopic tubectomy for in vitro fertilization-embryo transfer. Pathological examination after surgery revealed APAM with CAEH. Subsequently, the patient was treated with medroxyprogesterone acetate to preserve fertility.

  Optimal management of APAM has not yet been established. However, fertility preservation should be considered, under close monitoring, for women who desire to get pregnant.