{"paper_id":"cdba0f81-6343-47a2-9a4c-fc87003ed477","body_text":"Abstract\nAdenomyosis and fibroids are the two most common myometrial lesions. Fibroids or leiomyomas are usually well-defined lesions consisting of myometrial tissue, while adenomyosis is defined as endometrial tissue within the myometrium (Figs. 5.1 and 5.2). Both lesions may affect fertility and pregnancy outcome by impairing myometrial contractility and vascularization or by interfering with implantation and placentation. Sonographic features of myometrial masses have been standardized in a consensus paper published in 2015 entitled “Terms, definitions and measurements to describe sonographic features of myometrium and uterine masses: a consensus opinion from the Morphological Uterus Sonographic Assessment (MUSA) group” [1].\nAccess this chapter\nTax calculation will be finalised at checkout\nPurchases are for personal use only\nSimilar content being viewed by others\nReferences\nVan den Bosch T, Dueholm M, Leone FPG, Valentin L, Rasmussen CK, Votino A, Van Schoubroeck D, Landolfo C, Installé AJF, Guerriero S, Exacoustos C, Gordts S, Benacerraf B, D’Hooghe T, De Moor B, Brölmann H, Goldstein S, Epstein E, Bourne T, Timmerman D. Terms, definitions and measurements to describe sonographic features of myometrium and uterine masses: a consensus opinion from the Morphological Uterus Sonographic Assessment (MUSA) group. Ultrasound Obstet Gynecol. 2015;46:284–98.\nMunro MG, Critchley HO, Broder MS, Fraser IS. FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age. Int J Gynaecol Obstet. 2011;113:3–13.\nDueholm M. Transvaginal ultrasound for diagnosis of adenomyosis: a review. Best Pract Res Clin Obstet Gynaecol. 2006;20:569–82.\nVan Schoubroeck D, Van den Bosch T, Timmerman D. 3D ultrasound. In: Grimbizis GF, et al., editors. Female genital tract congenital malformations: classification, diagnosis and management. doi:10.1007/978-1-4471-5146-3_7. London: Springer; 2015. p. 79–98.\nExacoustos C, Brienza L, Di GA, Szabolcs B, Romanini ME, Zupi E, Arduini D. Adenomyosis: three-dimensional sonographic findings of the junctional zone and correlation with histology. Ultrasound Obstet Gynecol. 2011;37:471–9.\nVotino A, Van den Bosch T, Installé A, Van Schoubroeck D, Kaijser J, Kacem Y, De Moor B, Van Pachterbeke C, Timmerman D. Optimizing the ultrasound visualization of the endometrial-myometrial junction (EMJ). Facts Views Vis Obgyn. 2015;7(1):60–3.\nVan den Bosch T, Votino A, Cornelis A, Vandermeulen L, Van Pachterbeke C, Van Schoubroeck D, Timmerman D. Optimizing the histological diagnosis of adenomyosis using in vitro three dimensional (3D) ultrasonography. Gynecol Obstet Invest. 2016. doi:10.1159/000445072.\nAmant F, Van den Bosch T, Vergote I, Timmerman D. Morcellation of uterine leiomyomas: a plea for patient triage. Lancet Oncol. 2015;16:1454–6.\nBrölmann H, Tanos V, Grimbizis G, Ind T, Philips K, van den Bosch T, Sawalhe S, van den Haak L, Jansen FW, Pijnenborg J, Taran FA, Brucker S, Wattiez A, Campo R, O'Donovan P, de Wilde RL, European Society of Gynaecological Endoscopy (ESGE) steering committee on fibroid morcellation. Options on fibroid morcellation: a literature review. Gynecol Surg. 2015;12:3–15.\nVan den Bosch T, Coosemans A, Morina M, Timmerman D, Amant F. Screening for uterine tumours. Best Pract Res Clin Obstet Gynaecol. 2012;26:257–66.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nEditor information\nEditors and Affiliations\nRights and permissions\nCopyright information\n© 2017 Springer International Publishing Switzerland\nAbout this chapter\nCite this chapter\nVan den Bosch, T. (2017). Adenomyosis and Fibroids. In: Guerriero, S., Martins, W., Alcazar, J. (eds) Managing Ultrasonography in Human Reproduction. Springer, Cham. https://doi.org/10.1007/978-3-319-41037-1_5\nDownload citation\nDOI: https://doi.org/10.1007/978-3-319-41037-1_5\nPublished:\nPublisher Name: Springer, Cham\nPrint ISBN: 978-3-319-41035-7\nOnline ISBN: 978-3-319-41037-1\neBook Packages: MedicineMedicine (R0)\nKeywords\n- Pulse Repetition Frequency\n- Peak Systolic Velocity\n- Junctional Zone\n- Sonographic Feature\n- Ultrasound Feature\nThese keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.","source_license":"CC0","license_restricted":false}