The correlation of histological and ultrasonic signs of adenomyosis

С. А. Повзун, Д. Б. Фридман
In: Journal of obstetrics and women's diseases · 2005 · vol. 54(5S) , pp. 45–46 · doi:10.17816/jowd87374 · W3211553795
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⚙ AI-generated summary by qwen3.7-flash, 2026-08-30 ⓘ

This paper investigates the correlation between histological and ultrasonic signs of adenomyosis, highlighting ultrasound as a non-invasive method to suspect the condition.

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This review evaluates the diagnostic accuracy of ultrasonography features compared to histological findings in patients presenting with urgent non-gravid metrorrhagia. The authors analyzed data from twenty-four cases to determine how specific ultrasound signs, such as diffuse echostructure and small cystical inclusions, correlate with endomiometrial alterations observed under microscopy. Key results indicate that while diffuse changes often reflect muscular edema, the most effective diagnostic indicator was M-echo visualization three days post-curettage, which highlights hyperplasia of the basal endometrium and adjacent myometrium. This paper is centrally about adenomyosis, focusing specifically on validating ultrasonic markers against histological evidence for accurate diagnosis.

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Abstract

Introduction. Ultrasonography (USI) is a routine investigation technique in gynecology. USI - is the only method, which allows to suspect adenomyosis without invasive study.
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Abstract

Introduction. Ultrasonography (USI) is a routine investigation technique in gynecology. USI - is the only method, which allows to suspect adenomyosis without invasive study. Full Text Introduction. Ultrasonography (USI) is a routine investigation technique in gynecology. USI - is the only method, which allows to suspect adenomyosis without invasive study. The determining of US features correlation with endomiometrial alteration helps to define specificity and reliability of different US signs.

Material

and methods. USI and histological examination findings of 24 patients with urgent nongravid metrorrhage were observed. Results. Small cystical inclusions in myometrium can’t be explained by heterotopy presence, but connected with fibroid changes of myometrium, and besides the effectiveness of sign reduces while the vascular component rises, because of the diminution of specific volume of fibroid, and inability to recognize separate inclusions in case of diffuse abnormal echostructure of myometrium. Diffuse echostructure discovered at USI is related to muscular tissue edema, most evident at paraheterotopic areas of myometrium. Most effective USI sign in adenomyosis diagnosis was - M-echo visualization at third day after uterine curettage, which reflects basal layer of endometrium and adjacent myometrium hyperplasia. About the authors S. A. Povzun Military- medical academy Author for correspondence. Email: [email protected] Department of Obstetrics and Gynecology Russian Federation, Saint PetersburgD. B. Fridman Military- medical academy Email: [email protected] Department of Pathomorfology, Department of Obstetrics and Gynecology Russian Federation, Saint Petersburg

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adenomyosis

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