Depth of endometrial penetration in adenomyosis helps determine outcome of rollerball ablation

A M McCausland, Arthur M. McCausland, McCausland AM, McCausland VM, Vance M. McCausland, V M McCausland
American journal of obstetrics and gynecology · 1996 · vol. 174(6) , pp. 1786–1794 · doi:10.1016/s0002-9378(96)70211-9 · PMID:8678141 · W2010659428
article OA: closed CC0 ⤵ 79 in-corpus citations
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This study investigated how the depth of endometrial penetration in adenomyosis influences rollerball ablation outcomes.

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Abstract

ObjectiveOur purpose was to determine whether the depth of endometrial penetration into the myometrium correlates with outcome of rollerball endometrial ablation.Study designFifty consecutive patients with hysteroscopically normal-appearing cavities (without gross polyps or submucous fibroids) had endometrial ablations for menorrhagia and were subsequently studied for > or = 3.5 years. A posterior myometrial biopsy to determine the amount of endometrial penetration was performed and correlated with outcome.ResultsPatients with deep endometrial penetration into the myometrium (deep adenomyosis) had poor outcomes after ablation. Those with no or minimal endometrial penetration (superficial adenomyosis) had good results with few exceptions.ConclusionA myometrial biopsy specimen at the time of operative hysteroscopy can diagnose adenomyosis and help predict outcome after rollerball endometrial ablation. Superficial adenomyosis can be treated definitively with ablation. Deep adenomyosis responds poorly to ablation. Hysterectomy should be considered when myometrial biopsy, preoperative ultrasonography, or magnetic resonance imaging demonstrates deep adenomyosis.

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Condition tags

endometriosisadenomyosis

MeSH descriptors

Endometriosis Endometriosis Endometrium Endometrium Adult Biopsy Endometriosis Endometrium Female Humans Hysterectomy Menorrhagia Menorrhagia Myometrium Myometrium

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (13)

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