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 language | English (US) |
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Pages (from-to) | 177-179 |
Number of pages | 3 |
Journal | Clinical Imaging |
Volume | 52 |
DOIs | |
State | Published - Nov 1 2018 |
Keywords
- MRI
- Polypoid adenomyoma
- Prolapsed uterine tumor
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging