MRI of prolapsed polypoid adenomyoma: Expanding the differential diagnosis for the broccoli sign

Neel Patel, Joanna Hatfield, Roya Sohaey, Fergus V. Coakley

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

We report a 44 year old previously healthy premenopausal woman who presented with a three month history of vaginal bleeding and a 5 cm vaginal mass obscuring the cervix on physical examination. Ultrasound evaluation was non diagnostic. Pelvic MRI demonstrated a 6 cm soft tissue mass in the vagina prolapsed from the uterine cavity with a visible connecting stalk, which is termed the broccoli sign. The initial radiological differential diagnosis included prolapsed uterine malignancy or leiomyoma. Surgical pathology revealed a polypoid adenomyoma. We conclude polypoid adenomyoma should be included in the differential diagnosis for prolapsed uterine tumor demonstrating the broccoli sign.

Original languageEnglish (US)
Pages (from-to)177-179
Number of pages3
JournalClinical Imaging
Volume52
DOIs
StatePublished - Nov 1 2018

Keywords

  • MRI
  • Polypoid adenomyoma
  • Prolapsed uterine tumor

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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