Transvaginal ultrasonography in the diagnosis of diffuse adenomyosis

Luigi Fedele, Fedele L, L Fedele, S Bianchi, Bianchi S, Stefano Bianchi, Dorta M, Milena Dorta, M Dorta, Arcaini L, L Arcaini, Luisa Arcaini, F Zanotti, Fabrizio Zanotti, Zanotti F, S Carinelli, Silvestro Cannelli, Carinelli S
Fertility and sterility · 1992 · vol. 58(1) , pp. 94–97 · doi:10.1016/s0015-0282(16)55142-5 · PMID:1624029 · W204609401
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This study evaluated the effectiveness of transvaginal ultrasonography in diagnosing diffuse adenomyosis.

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Abstract

OBJECTIVE: To evaluate the diagnostic capability of transvaginal ultrasonography in detecting diffuse adenomyosis. DESIGN: We compared the preoperative transvaginal ultrasound (US) findings and the pathological findings of the surgical specimen in a series of women who underwent hysterectomy for menorrhagia. PATIENTS: Forty-three women (mean [+/- SD] age of 46 +/- 5) with recurrent menorrhagia and enlarged uterus, without evidence of uterine leiomyomas at abdominal US and of endometrial disease at vabra curettage. SETTING: Tertiary care center, university medical school. MAIN OUTCOME MEASURES: Sensitivity, specificity, predictive positive and negative values of transvaginal US in the diagnosis of diffuse adenomyosis. RESULTS: The sonographer diagnosed adenomyosis in 22 patients, whereas the pathologist found adenomyosis in 20 women, confirming the US findings in 16 cases and making an ex novo diagnosis in 4. The sensitivity of transvaginal US was 80%, the specificity 74%, the predictive value of a normal test 81%, and that of an abnormal test 73%. CONCLUSIONS: Transvaginal US seems to represent a real advance in the preoperative diagnosis of diffuse adenomyosis.

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Condition tags

endometriosisadenomyosis

MeSH descriptors

Endometriosis Ultrasonography Adult Adult Endometriosis Endometriosis Endometriosis Endometriosis Female Female Humans Humans Middle Aged Middle Aged Ultrasonography Ultrasonography Vagina Vagina

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (11)

Cited by (50)

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