ultrasound investigation of adenomyosis

Annette Fry
2006 · W2182977978
article OA: closed CC0 Metadata only
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This study investigated the subendometrial myometrium, the inner third of the uterus, which is uniquely susceptible to endometrial invasion in adenomyosis due to its lack of protective mucosa.

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Abstract

Adenomyosis is a common gynaecological disorder characterised by the presence of endometrial glands and stroma in the myometrium of the uterus with adjacent smooth muscle The subendometrial myometrium (myometrial junctional zone) forms the outer surface area of the EMI, constitutes the inner third of the myometrium and is about five millimetres in thickness. Subendometrial myometrial contractility is retrograde during the non-menstrual phase (assists in sperm transport and in conservation of pre-implantation blastocysts) and antegrade during the menstrual phase of the cycle (shedding of endometrium, control of menstrual flow) (2). The unique structural and functional feature of the EMI is the lack of a protective mucosa when compared with other mucosal-muscular junctions in the body, exposing the myometrium to invasion by proliferating endometrium (3).

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adenomyosis

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