Adenomyosis

In: Atlas of Imaging in Infertility · 2017 · pp. 83–96 · doi:10.1007/978-3-319-13893-0_7 · W4241853181
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Adenomyosis is a benign invasion of endometrium into the myometrium, characterized by endometrial glands and stroma within hypertrophic myometrium.

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This chapter defines adenomyosis as benign invasion of endometrium into the myometrium, characterized by diffuse uterine enlargement and non-neoplastic glands and stroma within hypertrophic and hyperplastic myometrium, with another cited definition specifying endometrial and stromal glandular cell presence beyond 2.5 mm from the endometrium–myometrium interface. It compiles prior studies comparing transvaginal ultrasonography and magnetic resonance imaging against histopathology for diagnosing adenomyosis, including assessments of diffuse and focal (adenomyoma) forms and differentiation from leiomyoma, while also highlighting limitations of transvaginal sonography based on histologic correlation. A key caveat is that the chapter content is largely definitional and review-like, drawing on heterogeneous earlier imaging and pathology studies rather than presenting new primary data. This paper is centrally about endometriosis and/or adenomyosis — it is specifically about adenomyosis, including literature on adenomyosis prevalence and impact when occurring in the context of endometriosis.

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Abstract

Adenomyosis is defined as a benign invasion from the endometrium into the myometrium, producing a diffuse increase in the uterus, showing under a microscope non-neoplastic endometrial glands and stroma surrounded by hypertrophic and hyperplastic myometrium [1]. Siegler and Camilien [2] define adenomyosis as the presence of endometrial and corium glandular cells on more than 2.5 mm from the endometrium-myometrium interface. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

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adenomyosis

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