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...
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...
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...
Symptoms usually resolve after menopause.
Hysterectomy is curative.
Additio...
76376003 endometriosis of uterus (disorder)
237115002 Endometriosis of myometrium (disorder)
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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Endometriosis of the bladder. A section of the bladder wall shows endometrial glands and stroma, with a focus of hemorrhage.
Adenomyosis. A microscopic view shows an endometrial gland and stroma in the myometrium.
Sites of endometriosis.
Endometriosis. Implants of endometriosis on the ovary appear as red-blue nodules.
FIG. 3.81. Diffuse adenomyosis. Sagittal T2-weighted image through uterus demonstrates thickened, indistinct junctional zone (<italic>arrows</bold>).
FIG. 3.81. Diffuse adenomyosis. Sagittal T2-weighted image through uterus demonstrates thickened, indistinct junctional zone (<italic...
<bold>FIGURE 2.17 A, B:</bold> Close-up view of adenomyosis of the uterine fundus. This is diverticulosis of the uterine wall (<italic>arrows</bold> point to diverticular holes). <italic>V</bold> points to enlarged vessels. <bold>C:</bold> Associated with diverticular adenomyosis are enlarged, thin-walled surface vessels that account for increased uterine bleeding at the time of menses.
<bold>FIGURE 2.17 A, B:</bold> Close-up view of adenomyosis of the uterine fundus. This is diverticulosis of the uterine wall ...
<bold>FIGURE 5.3</bold> Adenomyosis, foci of endometrial glands and stroma deep within the myometrium, distort the uterine wall. (10×, hematoxylin and eosin.)
<bold>FIGURE 5.3</bold> Adenomyosis, foci of endometrial glands and stroma deep within the myometrium, distort the uterine wal...
<bold>FIGURE 5.4</bold> This gross photograph of a bisected supracervical hysterectomy specimen exhibits irregular thickening of the myometrium, characteristic of adenomyosis. Multiple deep myometrial foci of dark blue discoloration mark the sites of adenomyosis (<italic>long white arrows</bold>). The short black arrow indicates a small leiomyoma.
<bold>FIGURE 5.4</bold> This gross photograph of a bisected supracervical hysterectomy specimen exhibits irregular thickening ...
<bold>FIGURE 18.27</bold><bold>A</bold> and <bold>B:</bold> Hysterograms show direct signs of adenomyosis. The contrast medium has injected numerous diverticula.
<bold>FIGURE 18.27</bold><bold>A</bold> and <bold>B:</bold> Hysterograms show direct signs of adenomyo...
<bold>FIGURE 22.40</bold> A: Endometrial atrophy with adhesions at the fundus of the uterus and old adenomyosis. B: Large diverticulum of adenomyosis just below the uterine fundus.
<bold>FIGURE 22.40</bold> A: Endometrial atrophy with adhesions at the fundus of the uterus and old adenomyosis. B: Large dive...
<bold>FIG. 28.8.</bold>Pelvic pain. A: Composite transvaginal sonogram showing enlarged left ovary (top right and bottom left) without flow and associated with a paraovarian cyst in left adnexa (lower right). The right ovary (top left) was normal, showing intraparenchymal flow. The left adnexa was found to be twisted three times and was surgically untwisted with good result. See color figure 28.8A. B: Doppler sonogram of enlarged left ovary containing venous flow. This finding suggest...
<bold>FIG. 28.8.</bold>Pelvic pain. A: Composite transvaginal sonogram showing enlarged left ovary (top right and bottom left)...
<bold>Fig GU 41-4. Diffuse uterine adenomyosis.</bold> Sagittal T2-weighted image demonstrates an enlarged uterus with thickening of the myometrium and diffuse low signal intensity throughout. The junctional zone is obliterated.<sup>44</sup>
<bold>Fig GU 41-4. Diffuse uterine adenomyosis.</bold> Sagittal T2-weighted image demonstrates an enlarged uterus with thicken...