Adenoma malignum presenting as urinary incontinence

Area of Science:

• Gynecologic Oncology
• Urogynecology

Background:

• Adenoma malignum is a rare and aggressive form of cervical cancer.
• It frequently presents with urinary incontinence (UI), mimicking other urogynecological conditions.

Observation:

• The atypical presentation and deceptively benign histopathology can lead to diagnostic challenges.
• Patients are often initially referred to urogynecologists due to the presenting symptom of UI.

Findings:

• A high index of suspicion is necessary to avoid overlooking this rare malignancy.
• Misdiagnosis or delayed diagnosis significantly impacts prognosis due to the aggressive nature of adenoma malignum.

Implications:

• Emphasizes the need for increased awareness among clinicians regarding adenoma malignum's unusual presentation.
• Highlights the importance of early diagnosis for achieving curative management and improving survival rates for this devastating condition.