Adenomyosis: a retrospective view.

J S Thomas, Judiith Thomas, J F Clark
Journal of the National Medical Association · 1989 · vol. 81(9) , pp. 969–72 · PMID:2674465 · W63780056
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This retrospective study of 178 uteri found that adenomyosis in Black Americans occurs earlier and may be linked to dilation and curettage, suggesting early ultrasonographic diagnosis for prevention or therapy.

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Abstract

Adenomyosis has been referred to as diagnostically elusive due to the difficulty of clinical identification and unknown etiology. In a retrospective study of 178 consecutive uteri removed or biopsied at Howard University Hospital significant differences in the average age and peak incidence, correct preoperative diagnosis, and association with leiomyoma was noted when compared with the current literature. The data suggest that in black Americans symptomatic essential adenomyosis occurs earlier and that dilation and curettage may have an etiologic role. In general, adenomyosis is more frequently associated with leiomyoma but essential adenomyosis was diagnosed most consistently when uterine enlargement was noted during the menstrual period. The authors conclude that adenomyosis should be considered in all cases of abnormal uterine bleeding and dysmenorrhea. Early diagnosis by ultrasonographic testing may lead to an identifiable cause of this disease and result in methods of prevention or early medical therapy.

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Condition tags

mesh:D004715adenomyosisdysmenorrhea

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Uterine Neoplasms Uterine Neoplasms Uterine Neoplasms Uterine Neoplasms Adult Aged Dilatation and Curettage Dilatation and Curettage Endometrial Hyperplasia Endometrial Hyperplasia Female Humans Leiomyoma Leiomyoma Leiomyoma Middle Aged

Citation neighborhood

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References (8)

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