Gray scale ultrasonography in the diagnosis of endometriosis and adenomyosis
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Gray scale ultrasonography identified 31 endometriosis lesions as cystic, polycystic, mixed, or solid, and noted adenomyosis in nine patients, but clinical history was necessary to differentiate endometriosis from other conditions in 16 patients.
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Abstract
Ultrasound findings in 25 patients with surgically proven endometriosis are presented. Of the 31 lesions characterized at ultrasound examination, 17 were described as cystic, four as polycystic, five as mixed, and four as solid. Nine patients had a diagnostic pattern of sonolucent zones within the uterus representing blood lakes (adenomyosis) associated with extrauterine masses. In the remaining 16 patients, ultrasound alone could not differentiate endometriosis from diseases such as tubovarian abscess, ruptured ectopic pregnancy, ovarian cyst(s), or tumor. Clinical history contributed to proper diagnosis in these patients.
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Cited by (50)
- Classifying Adenomyosis: Progress and Challenges 2021
- MODERN ASPECTS OF ULTRASOUND DIAGNOSIS OF ENDOMETRIOID HETEROTOPIAS OF PELVIC CAVITY ORGANS 2020
- Comparison of Sensitivity and Specificity of Structured and Narrative Reports of Transvaginal Ultrasonogaphy for Adenomyosis 2020
- Retrospective analysis of ultrasound criteria for newly diagnosed extragenital endometriosis detected during preventive examinations 2020
- Endometriosis: advances and controversies in classification, pathogenesis, diagnosis, and treatment 2019
- Classification and Reporting Systems for Adenomyosis 2019
- Role of transvaginal sonography and magnetic resonance imaging in the diagnosis of uterine adenomyosis 2018
- Methods of Transvaginal Ultrasound Examination in Endometriosis 2018
- How to Understand the Complexity of Endometriosis-Related Pain 2017
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- Diagnóstico de la adenomiosis 2014
- The pathophysiology of uterine adenomyosis: an update 2012
- Diagnostic accuracy of transvaginal sonography for the diagnosis of adenomyosis: systematic review and metaanalysis 2009
- Adenomyosis and ‘endometrial– subendometrial myometrium unit disruption disease’ are two different entities 2008
- Current diagnostic and treatment strategies for adenomyosis 2006
- Imagerie de l'adénomyose 2005
- The Sonographic Diagnosis of Adenomyosis 2005
- Rectus abdominis endometriosis: a report of two cases 2005
- Imagerie de l'adénomyose 2005
- Adenomyosis 2003
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- Limitations of transvaginal sonography for the diagnosis of adenomyosis, with histopathological correlation 2002
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