{"paper_id":"80171cb5-1b17-4110-b6fc-56eedc6c7990","body_text":"Abstract\nAdenomyosis is a benign invasion of endometrium into the myometrium that results in a diffusely enlarged uterus that microscopically exhibits ectopic non-neoplastic endometrial glands and stroma surrounded by the hypertrophic and hyperplastic myometrium. This benign disease has either a focal or diffuse distribution in the uterine wall. Between 60 and 80 % of women with adenomyosis have coexisting pelvic localisations of the disease. Adenomyosis may occur alone, but is more frequently accompanied by fibroids in up to 55 % of cases.\nAccess this chapter\nTax calculation will be finalised at checkout\nPurchases are for personal use only\nSimilar content being viewed by others\nReferences\nAzziz R (1989) Adenomyosis: current perspectives. Obstet Gynecol Clin North Am 16:221–235\nBenagiano G, Brosens I (2006) History of adenomyosis. Best Pract Res Clin Obstet Gynaecol 28:1–15\nBenson RC, Sneeden VD (1958) Adenomyosis: a reappraisal of symptomatology. Am J Obstet Gynecol 76:1044–1057\nBergeron C, Amant F, Ferency A (2006) A pathology and physiopathology of adenomyosis. Best Pract Res Clin Obstet Gynaecol 20:511–521\nBird CC, McElin TW, Manalo-Estrella P (1972) The elusive adenomyosis of the uterus-revisited. Am J Obstet Gynecol 112:583–593\nBratby MJ, Walker WJ (2009) Uterine artery embolisation for symptomatic adenomyosis-midterm results. Eur J Radiol 70:128–132\nChen C, Liu P, Lu J et al (2002) Uterine arterial embolization in the treatment of adenomyosis. Zhonghua Fu Chan Ke Za Zhi 37:77–79\nChen CL, Li FJ, Liu P et al (2008) The relevance between the effect on dysmenorrhea and the time of surgery of artery embolization in the treatment of adenomyosis. Zhonghua Fu Chan Ke Za Zhi 43:884–887\nChua GC, Wilsher M, Young MP et al (2005) Comparison of particle penetration with non-spherical polyvinyl alcohol versus tris-acryl gelatin microspheres in women undergoing premyomectomy uterine artery embolization. Clin Radiol 60:116–122\nDembek CJ, Pelletier EM, Isaacson KB et al (2007) Payer costs in patients undergoing uterine artery embolization, hysterectomy, or myomectomy for treatment of uterine fibroids. J Vasc Interv Radiol 18:1207–1213\nDuan P, Cheng J, Lin M et al (2008) Intermediate and long term clinical effects of uterine arterial embolization with sodium alginate microspheres in treatment of diffuse adenomyosis. Zhonghua Fu Chan Ke Za Zhi 43:272–275\nDueholm M (2006) Transvaginal ultrasound for diagnosis of adenomyosis: a review. Best Pract Res Clin Obstet Gynaecol 20:569–682\nDumousset E, Chabrot P, Rabischong B et al (2008) Preoperative uterine artery embolization (PUAE) before uterine myomectomy. Cardiovasc Intervent Radiol 31:512–520\nDundr P, Mara M, Maskova J et al (2006) Pathological findings of uterine leiomyomas and adenomyosis following uterine artery embolization. Pathol Res Pract 202:721–729\nFaquhar C, Brosens I (2006) Medical and surgical management of adenomyosis. Best Pract Res Clin Obstet Gynaecol 20:603–616\nFedele L, Bianchi E, Raffaelli R et al (1997) Treatment of adenomyosis associated menorrhagia with levonorgestrel-releasing intrauterine device. Fertil Steril 68:426–429\nFerenczy A (1998) Pathophysiology of adenomyosis. Hum Reprod Update 4:312–322\nFroeling V, Scheurig-Muenkler C, Hamm B et al (2011) Uterine Artery Embolization to treat uterine adenomyosis with or without uterine leiomyomata: results of symptom control and health-related quality of life 40 months after treatment. Cardiovasc Intervent Radiol [Epub ahead of print: 18 Aug, 2011] PMID: 21050565\nFuruhashy M, Miyabe M, Katsumata Y et al (1998) Comparison of complication of vaginal hysterectomy in patients with leiomyomas and in patients with adenomyosis. Arch Gynecol Obstet 262:69–73\nGoodwin SC, Vedantham S, McLucas B et al (1997) Preliminary experience with uterine artery embolization for uterine fibroids. J Vasc Interv Radiol 8:517–526\nGoodwin SC, McLucas B, Lee M et al (1999) Uterine artery embolization for the treatment of uterine leiomyomata midterm results. J Vasc Interv Radiol 10:1159–1165\nGoodwin SC, Spies JB, Worthington-Kirsch R et al (2008) Uterine artery embolization for treatment of leiomyomata: long-term outcomes from the FIBROID Registry. Obstet Gynecol 111:22–33\nGoodwin SC, Spies JB (2009) Uterine fibroid embolization. N Engl J Med 361:690–697\nHehenkamp WJ, Volkers NA, Birnie E et al (2008) Symptomatic uterine fibroids: treatment with uterine artery embolization or hysterectomy-results from the randomized clinical embolisation versus hysterectomy (EMMY) trial. Radiology 246:823–832\nHirst A, Dutton S, Wu O et al (2008) A multi-centre retrospective cohort study comparing the efficacy, safety and cost-effectiveness of hysterectomy and uterine artery embolisation for the treatment of symptomatic uterine fibroids. The HOPEFUL study. Health Technol Assess 12(5):1–248\nJha RC, Takahama J, Imaoka I et al (2003) Adenomyosis: MRI of the uterus treated with uterine artery embolization. Am J Roentgenol 181:851–856\nKatsumori T, Kasahara T, Kin Y et al (2007) Magnetic resonance angiography of uterine artery: changes with embolization using gelatine sponge particles alone for fibroids. Cardiovasc Intervent Radiol 30:398–404\nKim MD, Won JW, Lee DY et al (2004) Uterine artery embolization for adenomyosis without fibroids. Clin Radiol 59:520–526\nKim MD, Kim S, Kim NK et al (2007) Long-term results of uterine artery embolization for symptomatic adenomyosis. Am J Roentgenol 188:176–181\nKitamura Y, Allison SJ, Jha RC et al (2006) MRI of adenomyosis: changes with uterine artery embolization. Am J Roentgenol 186:855–864\nLohle PN, De Vries J, Klazen CA et al (2007) Uterine artery embolization for symptomatic adenomyosis with or without uterine leiomyomas with the use of calibrated tris-acryl gelatin microspheres: midterm clinical and MR imaging follow-up. J Vasc Interv Radiol 18(7):835–841\nLohle PN, Voogt MJ, De Vries J et al (2008) Long-term outcome of uterine artery embolization for symptomatic uterine leiomyomas. J Vasc Interv Radiol 19(3):319–326\nMcCausland V, McCausland A (1998) The response of adenomyosis to endometrial ablation/resection. Hum Reprod Update 4:350–359\nMeyers ER, Steege JF (1998) Risk adjustment for complications of hysterectomy: utility of routinely collected administrative data. Prim Care Update Ob Gyns 5:202–203\nOwolabi TO, Strickler RC (1977) Adenomyosis: a neglected diagnosis. Obstet Gynecol 50:424–427\nPelage JP, Jacob D, Fazel A et al (2005) Midterm results of uterine artery embolization for symptomatic adenomyosis: initial experience. Radiology 234:948–953\nPeric H, Fraser IS (2006) The symptomatology of adenomyosis. Best Pract Res Clin Obstet Gynaecol 20:547–555\nPopovic M, Puchner S, Berzaczy D et al (2011) Uterine artery embolization for the treatment of adenomyosis: a review. J Vasc Interv Radiol 22(7):901–909\nRabinovici J, Stewart EA (2006) New interventional techniques for adenomyosis. Best Pract Res Clin Obstet Gynaecol 20:617–636\nRavina JH, Herbreteau D, Ciraru-Vigneron N et al (1995) Arterial embolisation to treat uterine myomata. Lancet 346:671–672\nReinhold C, Tafazoli F, Mehio A et al (1999) Uterine adenomyosis: endovaginal US and MR imaging features with histopathologic correlation. Radiographics 19:S147–S160\nSiskin GP, Tublin ME, Stainken BF et al (2001) Uterine artery embolization for the treatment of adenomyosis: clinical response and evaluation with MR imaging. Am J Roentgenol 177:297–302\nSmeets AJ, Nijenhuis RJ, Boekkooi PF et al (2011) Long-term follow-up of uterine artery embolization for symptomatic adenomyosis. Cardiovasc Intervent Radiol [Epub ahead of print: 30 June, 2011] PMID: 21717251\nSmith SJ, Sewall LE, Handelsman A (1999) A clinical failure of uterine fibroid embolization due to adenomyosis. J Vasc Interv Radiol 10:1171–1174\nSpies JB, Warren EH, Mathias SD et al (1999) Uterine fibroid embolization: measurement of health-related quality of life before and after therapy. J Vasc Interv Radiol 10:1293–1303\nSpies JB, Roth AR, Jha RC et al (2002) Leiomyomata treated with uterine artery embolization: factors associated with successful symptom and imaging outcome. Radiology 222:45–52\nSpies JB, Bruno J, Czeyda-Pommersheim F et al (2005a) Long term outcome of uterine artery embolization of leiomyomata. Obstet Gynecol 106(5 Pt 1):933–939\nSpies JB, Allison S, Flick P et al (2005b) Spherical polyvinyl alcohol versus tris-acryl gelatin microspheres for uterine artery embolization for leiomyomas: results of a limited randomized comparative study. J Vasc Interv Radiol 16(11):1431–1437\nTamai K, Togashy K, Ito T et al (2005) MR imaging findings of adenomyosis: correlation with histopathologic features and diagnostic pitfalls. Radiographics 25:21–40\nToh CH, Wu CH, Tsay PK et al (2003) Uterine artery embolization for symptomatic uterine leiomyoma and adenomyosis. J Formos Med Assoc 102:701–706\nUtsunomiya D, Notsute S, Hayashida Y et al (2004) Endometrial carcinoma in adenomyosis: assessment of myometrial invasion on T2-weighted spin-echo and gadolinium-enhanced T1-weighted images. Am J Roentgenol 182:399–404\nValentini AL, Speca S, Gui B et al (2011) Adenomyosis: from the sign to the diagnosis. Imaging, diagnostic pitfalls and differential diagnosis: a pictorial review. Radiol med 116:1267–1287\nVercellini P, Ragni G, Trespidi L et al (1993) Adenomyosis: a déjà vu? Obstet Gynecol Surv 48:789–794\nVercellini P, Viganò P, Somigliana E et al (2006) Adenomyosis: epidemiological factors. Best Pract Res Clin Obstet Gynaecol 20:465–477\nVolkers NA, Hehenkamp WJ, Smit P et al (2008) Economic evaluation of uterine artery embolization versus hysterectomy in the treatment of symptomatic uterine fibroids: results from the randomized EMMY trial. J Vasc Interv Radiol 19:1007–1016\nVoogt MJ, van Stralen M, Ikink ME et al (2011) Targeted vessel ablation for more efficient magnetic resonance-guided high-intensity focused ultrasound ablation of uterine fibroids. Cardiovasc Intervent Radiol [Epub ahead of print: 7 Dec, 2011] PMID: 22146977\nWood C (2001) Adenomyosis: difficult to diagnose, and difficult to treat. Diagn Ther Endosc 7:89–95\nWorthington-Kirsch RL, Popky GL, Hutchins FL Jr (1998) Uterine arterial embolization for the management of leiomyomas: quality-of-life assessment and clinical response. Radiology 208:625–629\nAuthor information\nAuthors and Affiliations\nCorresponding author\nEditor information\nEditors and Affiliations\nRights and permissions\nCopyright information\n© 2012 Springer Berlin Heidelberg\nAbout this chapter\nCite this chapter\nLohle, P.N.M. (2012). Is There a Place for UAE in Adenomyosis?. In: Reidy, J., Hacking, N., McLucas, B. (eds) Radiological Interventions in Obstetrics and Gynaecology. Medical Radiology(). Springer, Berlin, Heidelberg. https://doi.org/10.1007/174_2012_626\nDownload citation\nDOI: https://doi.org/10.1007/174_2012_626\nPublisher Name: Springer, Berlin, Heidelberg\nPrint ISBN: 978-3-642-27974-4\nOnline ISBN: 978-3-642-27975-1\neBook Packages: MedicineMedicine (R0)","source_license":"CC0","license_restricted":false}