Advances in Adenomyosis Diagnosis Utilizing Transvaginal Ultrasonography-A Short Summary
Transvaginal ultrasonography can diagnose adenomyosis, a condition characterized by endometrial tissue within the myometrium causing uterine enlargement and cysts.
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This short communication discusses adenomyosis and the use of transvaginal ultrasonography (TVS) for its diagnosis, drawing on prior diagnostic-accuracy studies that compare 2D/3D TVS features with histopathology and report correlations with symptoms and infertility contexts. It highlights that TVS can show typical sonographic patterns reflecting adenomyosis, and cites Tellum et al. reporting a clinical prediction model with AUC 0.86 (95% CI 0.79–0.94), sensitivity 85%, and specificity 78%, using multiple ultrasound and symptom-related predictors. The paper explicitly notes limitations from earlier histology-based work, including selection bias toward older, more symptomatic patients, and notes that the proposed predictive model may not generalize because age, fertility status, association with deep infiltrating endometriosis, and adenomyosis subtype/extent were not incorporated. Relevance to endometriosis: it repeatedly contrasts symptom causation in adenomyosis versus endometriosis and notes that 48% of adenomyosis patients in the cited surgical cohort also had endometriosis, though the paper’s main focus is TVS-based diagnosis of adenomyosis.
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References (9)
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- Clinical profiles of 710 premenopausal women with adenomyosis who underwent hysterectomy via openalex
- Development of a clinical prediction model for diagnosing adenomyosis via openalex
- Pathophysiology of adenomyosis via openalex
- Sonographic classification and reporting system for diagnosing adenomyosis via openalex
- Usefulness of CA125 in the differential diagnosis of uterine adenomyosis and myoma via openalex
- W2123738482 via openalex
- W2753073405 via openalex
- W2033363713 via openalex
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