PROBLEMATIC ISSUES IN THE ETIOLOGY AND PATHOGENESIS OF ADENOMYOSIS

In: EXPERIMENTAL & CLINICAL MEDICINE GEORGIA · 2021 · doi:10.52340/jecm.2021.391 · W3178614704
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This review discusses current theories on the etiology and pathogenesis of adenomyosis, a common gynecological condition, and its potential for malignant transformation.

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This review discusses the unresolved etiology and less well-characterized pathogenesis of adenomyosis, including proposed mechanisms involving female sex hormone receptors, dysregulated cell proliferation and apoptosis, and inflammation, while also describing theories and concerns about malignant transformation. It synthesizes existing literature across the female genital system and highlights that no single proposed theory fully explains how adenomyosis develops. A key caveat is that, as a narrative review, it does not present new experimental data or resolve competing etiologic models with a single systematic method in the text provided. Relevance to endometriosis: the paper frames adenomyosis within broader reproductive pathology discussions that include hormone- and tissue-level processes also implicated in endometriosis, though its stated primary focus is adenomyosis etiology, pathogenesis, and risk of malignant transformation. This paper is centrally about adenomyosis — it reviews theories of its development and mechanisms, including possible malignant transformation.

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Abstract

Nowadays, adenomyosis represents one of the most common pathology of female genital system. It occurs at different ages, including nulliparous, infertile and multiparous women. The etiology of adenomyosis is still under investigation. Despite the fact that there are many different theories, none of them fully explain the mechanisms of adenomyoisis development. The pathogeneis of adenomyosis is also less studied. Many studies indicate the involvement of female sex hormone receptors, cell proliferation and apoptosis, as well as the involvement of inflammation. Some investigators describe the malignant transformation of adenomyosis, which makes the study of the disease etiology and pathogenesis more important. In current review, we discuss the different theories of adenomyosis development, as well as the risk of malignant transformation.
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PROBLEMATIC ISSUES IN THE ETIOLOGY AND PATHOGENESIS OF ADENOMYOSIS DOI: https://doi.org/10.52340/jecm.2021.391Keywords: adenomyosis, malignant transformation, female genital systemAbstract Nowadays, adenomyosis represents one of the most common pathology of female genital system. It occurs at different ages, including nulliparous, infertile and multiparous women. The etiology of adenomyosis is still under investigation. Despite the fact that there are many different theories, none of them fully explain the mechanisms of adenomyoisis development. The pathogeneis of adenomyosis is also less studied. Many studies indicate the involvement of female sex hormone receptors, cell proliferation and apoptosis, as well as the involvement of inflammation. Some investigators describe the malignant transformation of adenomyosis, which makes the study of the disease etiology and pathogenesis more important. In current review, we discuss the different theories of adenomyosis development, as well as the risk of malignant transformation. Downloads References Vannuccini and F. Petraglia, “Recent advances in understanding and managing adenomyosis [version 1; peer review: 2 approved],” F1000Research, vol. 8, pp. 1–10, 2019. S. Vannuccini et al., “Pathogenesis of adenomyosis: an update on molecular mechanisms.,” Reprod. Biomed. Online, vol. 35, no. 5, pp. 592–601, Nov. 2017. Q. Chen et al., “Clinical Manifestations Of Adenomyosis Patients With Or Without Pain Symptoms,” J. Pain Res., vol. 12, pp. 3127–3133, Nov. 2019. C. Chapron et al., “Diagnosing adenomyosis: an integrated clinical and imaging approach.,” Hum. Reprod. Update, vol. 26, no. 3, pp. 392–411, Apr. 2020. M. F. Antero, A. Ayhan, J. Segars, and I.-M. Shih, “Pathology and Pathogenesis of Adenomyosis,” Semin. Reprod. Med., vol. 38, no. 2–03, pp. 108–118, May 2020. V. Tanos, L. Lingwood, and S. 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