Is There a Place for UAE in Adenomyosis?

In: Medical Radiology · 2012 · pp. 159–166 · doi:10.1007/174_2012_626 · W13807258
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Adenomyosis is a benign endometrial invasion of the myometrium causing uterine enlargement, often coexisting with fibroids, and can be diffuse or focal.

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This paper is a chapter overview defining adenomyosis and describing its common coexisting pelvic localizations and frequent association with uterine fibroids, framing the context for considering radiological intervention such as uterine artery embolization (UAE). It characterizes adenomyosis as benign endometrial invasion into the myometrium with diffuse or focal uterine involvement, and notes that 60–80% of women have other pelvic disease sites and up to 55% also have fibroids. The chapter’s main limitation is that the provided text functions as an expository discussion without presenting new original study data or a detailed methodology or outcomes. Relevance to endometriosis: the chapter focuses specifically on adenomyosis but uses adjacent terminology and context typical of pelvic endometrial disorders, which it situates as part of broader benign pelvic pathology alongside endometrial invasion conditions. This paper is centrally about adenomyosis — providing foundational epidemiologic and pathologic background relevant to whether UAE has a place in its management.

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Abstract

Adenomyosis is a benign invasion of endometrium into the myometrium that results in a diffusely enlarged uterus that microscopically exhibits ectopic non-neoplastic endometrial glands and stroma surrounded by the hypertrophic and hyperplastic myometrium. This benign disease has either a focal or diffuse distribution in the uterine wall. Between 60 and 80 % of women with adenomyosis have coexisting pelvic localisations of the disease. Adenomyosis may occur alone, but is more frequently accompanied by fibroids in up to 55 % of cases. 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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J Vasc Interv Radiol 19:1007–1016 Voogt MJ, van Stralen M, Ikink ME et al (2011) Targeted vessel ablation for more efficient magnetic resonance-guided high-intensity focused ultrasound ablation of uterine fibroids. Cardiovasc Intervent Radiol [Epub ahead of print: 7 Dec, 2011] PMID: 22146977 Wood C (2001) Adenomyosis: difficult to diagnose, and difficult to treat. Diagn Ther Endosc 7:89–95 Worthington-Kirsch RL, Popky GL, Hutchins FL Jr (1998) Uterine arterial embolization for the management of leiomyomas: quality-of-life assessment and clinical response. Radiology 208:625–629 Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2012 Springer Berlin Heidelberg About this chapter Cite this chapter Lohle, P.N.M. (2012). Is There a Place for UAE in Adenomyosis?. In: Reidy, J., Hacking, N., McLucas, B. (eds) Radiological Interventions in Obstetrics and Gynaecology. Medical Radiology(). Springer, Berlin, Heidelberg. https://doi.org/10.1007/174_2012_626 Download citation DOI: https://doi.org/10.1007/174_2012_626 Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-642-27974-4 Online ISBN: 978-3-642-27975-1 eBook Packages: MedicineMedicine (R0)

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