Uterine adenomyosis. A difficult sonographic diagnosis
Diagnostic accuracy
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This retrospective study found that diffuse uterine enlargement with normal myometrial texture, contour, and cavity echoes suggested adenomyosis, while focal enlargement with abnormal features indicated leiomyoma or other pathology.
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Abstract
In an effort to distinguish the appearance of generalized uterine adenomyosis from leiomyoma, a retrospective study was performed on 80 patients who had preoperative uterine sonography. A diagnosis of adenomyosis (eight patients) was suggested if the uterus was diffusely enlarged, but the myometrial texture, contour, and central cavity echoes were each normal. Leiomyoma, or other focal uterine pathology (72 patients) was characterized by focal or globular uterine enlargement with abnormal echo texture and contour, as well as nonvisualization or displacement of the central cavity echo complex. Using these criteria, ultrasound was able to suggest adenomyosis with a sensitivity of 63%, a specificity of 97%, and a positive predictive value of 71%. Focal pathology was diagnosed with a sensitivity of 97%, a specificity of 63%, and a positive predictive value of 96%. Although irregular myometrial sonolucent zones have previously been reported as characteristic for adenomyosis, this study did not confirm this finding.
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Cited by (44)
- Ultrasound Diagnosis of Adenomyosis: A Literature Review and Clinical Cases 2026
- Uterine artery embolization for the treatment of symptomatic adenomyosis: a systematic review 2026
- Correlation between transvaginal sonographic evaluation of adenomyosis and histopathological outcomes 2025
- Uterine Embolization as a New Treatment Option in Adenomyosis Uteri 2022
- Diagnostic Accuracy of Transvaginal Ultrasound and Magnetic Resonance Imaging for Adenomyosis: Systematic Review and Meta-Analysis and Review of Sonographic Diagnostic Criteria 2021
- Diagnosing adenomyosis: an integrated clinical and imaging approach 2020
- No. 164-Consensus Guidelines for the Management of Chronic Pelvic Pain 2018
- No 164 - Directive clinique de consensus pour la prise en charge de la douleur pelvienne chronique 2018
- Role of transvaginal sonography and magnetic resonance imaging in the diagnosis of uterine adenomyosis 2018
- Abnormal uterine bleeding in perimenopausal women: Correlation with sonographic findings and histopathological examination of hysterectomy specimens 2016
- Ultrasound studies of the endometrial-myometrial junction for the diagnosis of adenomyosis and endometrial cancer 2014
- Diagnóstico de la adenomiosis 2014
- Ultrasound diagnosis of adenomyosis, leiomyoma, or combined with histopathological correlation 2013
- Adenomyosis and subfertility: a systematic review of prevalence, diagnosis, treatment and fertility outcomes 2012
- Transvaginal sonographic criteria for the diagnosis of adenomyosis based on histopathologic correlation 2010
- Ultrasound scan and magnetic resonance imaging for the diagnosis of adenomyosis: systematic review comparing test accuracy 2010
- 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
- Adenomyose 2008
- Transvaginal sonography in the diagnosis of adenomyosis: which findings are most accurate? 2007
- Adenomyosis 2007
- Adenomyosis:common and uncommon manifestations on sonography and magnetic resonance imaging 2006
- Current diagnostic and treatment strategies for adenomyosis 2006
- Transvaginal ultrasound for diagnosis of adenomyosis: a review 2006
- Adénomyose 2006
- Consensus guidelines for the management of chronic pelvic pain 2005
- Imagerie de l'adénomyose 2005
- Imaging diagnosis of adenomyosis 2005
- Imagerie de l'adénomyose 2005
- MR imaging findings of adenomyosis: correlation with histopathologic features and diagnostic pitfalls 2005
- The sonographic diagnosis of adenomyosis 2005
- Adenomyosis 2003
- Uterine adenomyosis in the infertility clinic 2003
- Limitations of transvaginal sonography for the diagnosis of adenomyosis, with histopathological correlation 2002
- Sonographic findings in patients with adenomyosis: can sonography assist in predicting extent of disease? 2002
- Ultrasonography compared with magnetic resonance imaging for the diagnosis of adenomyosis: correlation with histopathology 2001
- Uterine artery embolization for the treatment of adenomyosis: clinical response and evaluation with MR imaging 2001
- Uterine Artery Embolization for the Treatment of Adenomyosis: Clinical Response and Evaluation with 2001
- Adenomyosis: sonographic findings and diagnostic accuracy 2000
- Imaging features of adenomyosis 1998
- Adenomyosis 1995
- Differential diagnosis of uterine myoma and adenomyosis using conventional ultrasound and transvaginal color doppler technique 1993
- Sonographic assessment of nongravid female macaques (Macaca mulatta and Macaca fascicularis) 1992
- Ultrasound appearance of adenomyosis mimicking adenocarcinoma in a postmenopausal woman 1988
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