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Adenomyosis

Bradley M Turner, MD, MPH, MHA Reviewed 04/2024
 


BASICS

DESCRIPTION

  • Benign disease characterized by the presence of endometrial glands and stroma within the myometrium (1) often producing a diffusely enlarged uterus

  • Considered a specific entity in th...

DIAGNOSIS

  • The diagnosis is made through physical examination, radiographic imaging, biopsy, and subsequent histopathologic evaluation.

  • Pelvic pain, dysmenorrhea, and an enlarged uterus are the usual cu...

TREATMENT

  • There are no international guidelines to follow for medical or surgical treatment of adenomyosis.

  • Adenomyosis is currently managed using modalities developed for contraception and symptoms of...

ONGOING CARE

PATIENT EDUCATION

PROGNOSIS

  • Symptoms usually resolve after menopause.

  • Hysterectomy is curative.

  • Additio...

REFERENCES

1
Kho KA, Chen JS, Halvorson LM. Diagnosis, evaluation, and treatment of adenomyosis. JAMA. 2021;326(2):177–178.
2
Tan J, Yong P, Bedaiwy MA. A critical review of recent advances in the diagno...

ADDITIONAL READING

SEE ALSO

Bourdon M, Santulli P, Marcellin L, et al. Adenomyosis: An update regarding its diagnosis and clinical features. J Gynecol Obstet Hum Reprod. 2021...

CODES

ICD10

N80.0 Endometriosis of uterus 

SNOMED

  • 76376003 endometriosis of uterus (disorder)

  • 237115002 Endometriosis of myometrium (disorder)

CLINICAL PEARLS

  • Adenomyosis is often asymptomatic.

  • MRI is more sensitive than TVUS, particularly in differentiating adenomyosis from leiomyoma.

  • Histologic diagnosis is the gold standard.

  • Various medical ...

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