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DOI: http://dx.doi.org/10.21088/ijprp.2278.148X.12323.4

Abstract

Papillary Adenofibroma is an extremely rare condition and is benign biphasic tumor composed of epithelial and mesenchymal components. It occurs more often in extra uterine sites and in the female genital tract it is known to occur more common in the endometrium. The presence of this condition in cervical region is extremely rare and even the available cases show young to middle age predilection. In the present case report we had a sixty year old post menopausal female who came with the complaints of bleeding per vaginum for five days and complaints of burning micturition with a provisional diagnosis of endocervical polyp clinically. Radiologically imaging was suggestive of papillary neoplasm. Biopsy studied showed features of lobulated papillae covered by bland endocervical epithelium with a foci showing squamous metaplasia features suggestive of benign papillary adenofibroma of cervix and reiterated with special stain as well. It is a rare tumor having high chance of recurrence, with a very low incidence rate and account for less than 10% of uterine adenofibromas. Usually this condition presents as broad based polypoidal mass with abnormal vaginal bleeding. They need a differential diagnosis with Adenomyoma, Adenosarcoma and Carcinosarcoma which share many common features on histology.

Keywords : Adenofibroma; Cervix; Papillary lesions; Histopathology.

Corresponding Author : Anandraj Vaithy. K, Professor, Department of Pathology, Mahatma Gandhi Medical College & Research Institute, Sri Balaji Vidyapeeth University (Deemed), Puducherry 607402, India.