Abnormal endometrium-myometrium junction on ultrasound imaging

Suyasha Vyas; Mathur Neha Satyaprakash

Abnormal endometrium-myometrium junction on ultrasound imaging

Suyasha Vyas, Mathur Neha Satyaprakash

2015 · W2587426889

article OA: closed CC0 Metadata only

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This case series evaluated three women with abnormal uterine bleeding who presented with an abnormal endometrium-myometrium junction on ultrasound, highlighting its potential as a marker for disease.

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Abstract

Introduction: The inner myometrial layers underlying the endometrium have been termed the uterine junctional zone and appear to be a distinct anatomical structure. Visualisation of an abnormal junctional zone on imaging by USG may indicate disease – notably adenomyosis and endometrial cancer. Cases: This is a series of three cases; two with postmenopausal bleeding and the third with abnormal uterine bleeding. All of them had an interesting clinical history; multiple comorbid conditions - which made their management a challenge; and were distinguished by an abnormal endometrium–myometrium junction visualised on ultrasonography. Conclusion: The endometrial-myometrial zone is an important USG marker for disease; however widespread use is hampered by subjective nature of evaluation, low sensitivity and lack of standard criteria. Development of standard criteria may help increase the utility and ease of junctional zone evaluation. More research is required as to the next best step in evaluation of symptomatic patients in whom imaging shows abnormality of the endometrial-myometrial junction.

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Condition tags

adenomyosis

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References (14)

Adenomyosis and ‘endometrial– subendometrial myometrium unit disruption disease’ are two different entities via openalex
Characterization of subendometrial myometrial contractions throughout the menstrual cycle in normal fertile women via openalex
Difficulties in Assessing the Depth of Myometrial Invasion in Endometrial Carcinoma via openalex
Histological analysis of the uterine junctional zone as seen by transvaginal ultrasound via openalex
Imaging features of adenomyosis via openalex
Structural abnormalities of the uterine wall in women with endometriosis and infertility visualized by vaginal sonography and magnetic resonance imaging via openalex
The cyclic pattern of the immunocytochemical expression of oestrogen and progesterone receptors in human myometrial and endometrial layers: characterization of the endometrialsubendometrial unit via openalex
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The uterine junctional zone via openalex
Transvaginal sonography in the diagnosis of adenomyosis: which findings are most accurate? via openalex
Ultrasound study of the myoendometrial border. via openalex
Uterine junctional zone: function and disease via openalex
W2143941931 via openalex
W2160734049 via openalex

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License: CC0 · commercial use OK

[1] Adenomyosis and ‘endometrial– subendometrial myometrium unit disruption disease’ are two different entities via openalex

[2] Characterization of subendometrial myometrial contractions throughout the menstrual cycle in normal fertile women via openalex

[3] Difficulties in Assessing the Depth of Myometrial Invasion in Endometrial Carcinoma via openalex

[4] Histological analysis of the uterine junctional zone as seen by transvaginal ultrasound via openalex

[5] Imaging features of adenomyosis via openalex

[6] Structural abnormalities of the uterine wall in women with endometriosis and infertility visualized by vaginal sonography and magnetic resonance imaging via openalex

[7] The cyclic pattern of the immunocytochemical expression of oestrogen and progesterone receptors in human myometrial and endometrial layers: characterization of the endometrialsubendometrial unit via openalex

[8] The endometrial–myometrial junction: a fresh look at a busy crossing via openalex

[9] The uterine junctional zone via openalex

[10] Transvaginal sonography in the diagnosis of adenomyosis: which findings are most accurate? via openalex

[11] Ultrasound study of the myoendometrial border. via openalex

[12] Uterine junctional zone: function and disease via openalex

[13] W2143941931 via openalex

[14] W2160734049 via openalex