PROBLEMATIC ISSUES IN THE ETIOLOGY AND PATHOGENESIS OF ADENOMYOSIS
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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