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J Midlife Health. 2018 Oct-Dec;9(4):219-221. doi: 10.4103/jmh.JMH_102_18.

Adenoma Malignum Diagnosed Postoperatively in a Case of Fibroid Uterus: Case Report with Review of Literature.

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Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Department of Pathology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.


"Minimal deviation adenocarcinoma" of the uterine cervix (MDA), historically known as Adenoma Malignum, is a rare variant of cervical adenocarcinoma. Both the clinicians and pathologists must be vigilant about this entity as it could be mistaken for a benign pathology both clinically and microscopically, which can prove disastrous to the patient as these tumors behave like adenocarcinomas We hereby report an incidentally detected case of AM which was diagnosed in a post-menopausal female postoperatively. We discuss the intraoperative complications, histopathological diagnosis, post-operative management and follow up.


Adenoma malignum; extremely well-differentiated adenocarcinoma of the cervix (mucinous, gastric type); minimal deviation adenocarcinoma of the cervix

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