Case Report
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Ultrasonography and MR Imaging Findings in a Patient with Tubal Adenofibroma

Year 2022, Volume: 75 Issue: 4, 595 - 598, 20.01.2023

Abstract

Adenofibroma is an uncommon tumor containing both epithelial and stromal components. In this report, we aimed to present a case of fallopian
tube adenofibroma with an emphasis on imaging findings. On ultrasonography, a spongy semisolid mass, and on T2-weighted MR sequences, a
multilocular hyperintense mass adjacent to normal left ovary were seen. Tiny hyperintense locules were noted in the hypointense fibrous component,
which resembles the “black-sponge” appearance previously described for ovarian adenofibromas. Although there is no current evidence that the
diagnosis of tubal adenofibroma can solely be made by imaging, the presence of “black sponge”-like appearance may support this diagnosis.

Ethical Statement

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Thanks

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References

  • 1. Alvarado-Cabrero I, Navani SS, Young RH, et al. Tumors of the fimbriated end of the fallopian tube: a clinicopathologic analysis of 20 cases, including nine carcinomas. Int J Gynecol Pathol. 1997;16:189-196.
  • 2. Grigore M, Popovici R, Furnica C, et al. Three-dimensional ultrasound and HDlive in tubal serous cystadenofibroma: a case report and literature review. Med Ultrason. 2017;19:444-446.
  • 3. Fukushima A, Shoji T, Tanaka S, et al. A case of fallopian tube adenofibroma: difficulties associated with differentiation from ectopic pregnancy. Clin Med Insights Case Rep. 2014;7:135-137.
  • 4. Bossuyt V, Medeiros F, Drapkin R, et al. Adenofibroma of the fimbria: a common entity that is indistinguishable from ovarian adenofibroma. Int J Gynecol Pathol. 2008;27:390-397.
  • 5. Karpathiou G, Chauleur C, Venet M, et al. Pathology of the fallopian tube: tubal involvement by ovarian tumors and incidental findings in the nontumoral setting. Pathobiology. 2020;87:37-44.
  • 6. Gürbüz Y, Ozkara SK. Immunohistochemical profile of serous papillary cystadenofibroma of the fallopian tube: a clue of paramesonephritic origin. Appl Immunohistochem Mol Morphol. 2003;11:153-155.
  • 7. Wasnik A, Elsayes K. Ovarian cystadenofibroma: A masquerader of malignancy. Indian J Radiol Imaging. 2010;20:297-299.
  • 8. Wasnik AP, Menias CO, Platt JF, et al. Multimodality imaging of ovarian cystic lesions: Review with an imaging based algorithmic approach. World J Radiol. 2013;5:113-125.
  • 9. Jung SE, Lee JM, Rha SE, et al. CT and MR imaging of ovarian tumors with emphasis on differential diagnosis. Radiographics. 2002;22:1305-1325.
  • 10. Outwater EK, Siegelman ES, Talerman A, et al. Ovarian fibromas and cystadenofibromas: MRI features of the fibrous component. J Magn Reson Imaging. 1997;7:465-471.
  • 11. Takeuchi M, Matsuzaki K, Kusaka M, et al. Ovarian cystadenofibromas: characteristic magnetic resonance findings with pathologic correlation. J Comput Assist Tomogr. 2003;27:871-873.
  • 12. Jung DC, Kim SH, Kim SH. MR imaging findings of ovarian cystadenofibroma and cystadenocarcinofibroma: clues for the differential diagnosis. Korean J Radiol. 2006;7:199-204.
  • 13. Tang YZ, Liyanage S, Narayanan P, et al. The MRI features of histologically proven ovarian cystadenofibromas-an assessment of the morphological and enhancement patterns. Eur Radiol. 2013;23:48-56.
  • 14. Lee DH. A case of mucinous cystadenofibroma of the ovary. Case Rep Obstet Gynecol. 2014;2014:130530.
  • 15. Foti PV, Attinà G, Spadola S, et al. MR imaging of ovarian masses: classification and differential diagnosis. Insights Imaging. 2016;7:21-41.

Tubal Adenofibromlu Bir Olguda Ultrasonografi ve MR Görüntüleme Bulguları

Year 2022, Volume: 75 Issue: 4, 595 - 598, 20.01.2023

Abstract

Adenofibrom, hem epitelyal hem de stromal bileşenler içeren nadir bir tümördür. Bu yazıda fallop tüpü kaynaklı adenofibrom olgusunun görüntüleme
bulgularını sunmayı amaçladık. Ultrasonografide süngerimsi semisolid kitle, T2 ağırlıklı MR sekanslarında normal sol overe komşu multiloküler
hiperintens kitle görüldü. Daha önce over adenofibromları için tanımlanan “siyah sünger” görünümüne benzeyen hipointens fibröz komponentte
küçük hiperintens loküller kaydedildi. Tubal adenofibrom tanısının yalnızca görüntüleme ile konulabileceğine dair güncel bir kanıt bulunmamakla
birlikte, “siyah sünger” benzeri görünümün varlığı bu tanıyı destekleyebilir.

Ethical Statement

-

Supporting Institution

-

Project Number

-

Thanks

-

References

  • 1. Alvarado-Cabrero I, Navani SS, Young RH, et al. Tumors of the fimbriated end of the fallopian tube: a clinicopathologic analysis of 20 cases, including nine carcinomas. Int J Gynecol Pathol. 1997;16:189-196.
  • 2. Grigore M, Popovici R, Furnica C, et al. Three-dimensional ultrasound and HDlive in tubal serous cystadenofibroma: a case report and literature review. Med Ultrason. 2017;19:444-446.
  • 3. Fukushima A, Shoji T, Tanaka S, et al. A case of fallopian tube adenofibroma: difficulties associated with differentiation from ectopic pregnancy. Clin Med Insights Case Rep. 2014;7:135-137.
  • 4. Bossuyt V, Medeiros F, Drapkin R, et al. Adenofibroma of the fimbria: a common entity that is indistinguishable from ovarian adenofibroma. Int J Gynecol Pathol. 2008;27:390-397.
  • 5. Karpathiou G, Chauleur C, Venet M, et al. Pathology of the fallopian tube: tubal involvement by ovarian tumors and incidental findings in the nontumoral setting. Pathobiology. 2020;87:37-44.
  • 6. Gürbüz Y, Ozkara SK. Immunohistochemical profile of serous papillary cystadenofibroma of the fallopian tube: a clue of paramesonephritic origin. Appl Immunohistochem Mol Morphol. 2003;11:153-155.
  • 7. Wasnik A, Elsayes K. Ovarian cystadenofibroma: A masquerader of malignancy. Indian J Radiol Imaging. 2010;20:297-299.
  • 8. Wasnik AP, Menias CO, Platt JF, et al. Multimodality imaging of ovarian cystic lesions: Review with an imaging based algorithmic approach. World J Radiol. 2013;5:113-125.
  • 9. Jung SE, Lee JM, Rha SE, et al. CT and MR imaging of ovarian tumors with emphasis on differential diagnosis. Radiographics. 2002;22:1305-1325.
  • 10. Outwater EK, Siegelman ES, Talerman A, et al. Ovarian fibromas and cystadenofibromas: MRI features of the fibrous component. J Magn Reson Imaging. 1997;7:465-471.
  • 11. Takeuchi M, Matsuzaki K, Kusaka M, et al. Ovarian cystadenofibromas: characteristic magnetic resonance findings with pathologic correlation. J Comput Assist Tomogr. 2003;27:871-873.
  • 12. Jung DC, Kim SH, Kim SH. MR imaging findings of ovarian cystadenofibroma and cystadenocarcinofibroma: clues for the differential diagnosis. Korean J Radiol. 2006;7:199-204.
  • 13. Tang YZ, Liyanage S, Narayanan P, et al. The MRI features of histologically proven ovarian cystadenofibromas-an assessment of the morphological and enhancement patterns. Eur Radiol. 2013;23:48-56.
  • 14. Lee DH. A case of mucinous cystadenofibroma of the ovary. Case Rep Obstet Gynecol. 2014;2014:130530.
  • 15. Foti PV, Attinà G, Spadola S, et al. MR imaging of ovarian masses: classification and differential diagnosis. Insights Imaging. 2016;7:21-41.
There are 15 citations in total.

Details

Primary Language English
Subjects Radiology and Organ Imaging
Journal Section Articles
Authors

Diğdem Kuru Öz 0000-0001-8873-3476

Project Number -
Publication Date January 20, 2023
Published in Issue Year 2022 Volume: 75 Issue: 4

Cite

APA Kuru Öz, D. (2023). Ultrasonography and MR Imaging Findings in a Patient with Tubal Adenofibroma. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 75(4), 595-598. https://doi.org/10.4274/atfm.galenos.2023.21043
AMA Kuru Öz D. Ultrasonography and MR Imaging Findings in a Patient with Tubal Adenofibroma. Ankara Üniversitesi Tıp Fakültesi Mecmuası. January 2023;75(4):595-598. doi:10.4274/atfm.galenos.2023.21043
Chicago Kuru Öz, Diğdem. “Ultrasonography and MR Imaging Findings in a Patient With Tubal Adenofibroma”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 75, no. 4 (January 2023): 595-98. https://doi.org/10.4274/atfm.galenos.2023.21043.
EndNote Kuru Öz D (January 1, 2023) Ultrasonography and MR Imaging Findings in a Patient with Tubal Adenofibroma. Ankara Üniversitesi Tıp Fakültesi Mecmuası 75 4 595–598.
IEEE D. Kuru Öz, “Ultrasonography and MR Imaging Findings in a Patient with Tubal Adenofibroma”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 75, no. 4, pp. 595–598, 2023, doi: 10.4274/atfm.galenos.2023.21043.
ISNAD Kuru Öz, Diğdem. “Ultrasonography and MR Imaging Findings in a Patient With Tubal Adenofibroma”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 75/4 (January2023), 595-598. https://doi.org/10.4274/atfm.galenos.2023.21043.
JAMA Kuru Öz D. Ultrasonography and MR Imaging Findings in a Patient with Tubal Adenofibroma. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2023;75:595–598.
MLA Kuru Öz, Diğdem. “Ultrasonography and MR Imaging Findings in a Patient With Tubal Adenofibroma”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 75, no. 4, 2023, pp. 595-8, doi:10.4274/atfm.galenos.2023.21043.
Vancouver Kuru Öz D. Ultrasonography and MR Imaging Findings in a Patient with Tubal Adenofibroma. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2023;75(4):595-8.