Adenomyosis: diagnosis by hysteroscopic endomyometrial biopsy, correlation of incidence and severity with menorrhagia
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Hysteroscopic endomyometrial biopsy identified adenomyosis in 60% of menorrhagic patients, a higher incidence with greater myometrial invasion depth compared to controls.
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Abstract
OBJECTIVE: To assess the possibility of diagnosing adenomyosis by hysteroscopic endomyometrial biopsy in patients with menorrhagia and to compare the incidence and depth of penetration in patients who did not have menorrhagia.
STUDY DESIGN: The study group included 53 patients who had menorrhagia and the control group included patients who were to have hysterectomy for conditions like prolapse uterus. Hysteroscopic endomyometrial biopsy was done in the menorrhagia group. The incidence and depth of penetration of adenomyosis were compared in both the groups using Kruskal Wallis H test. For correlation of severity of menorrhagia with depth of adenomyosis: Student's t-test and ANOVA were used.
RESULT: The incidence of adenomyosis was 60% (18 patients) by endomyometrial biopsy in the menorrhagia group as compared to 33.3% in the control group. The mean depth of invasion of myometrium was 4.103 mm in the menorrhagia group and 2.03 mm in the control group.
CONCLUSION: There is a definite correlation between menorrhagia and adenomyosis both in incidence and depth of penetration.
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References (4)
- Adenomyosis: current perspectives via openalex
- W1997746787 via openalex
- W2033945601 via openalex
- W4206409176 via openalex
Cited by (17)
- Adenomyosis and Abnormal Uterine Bleeding: Review of the Evidence 2024
- Diagnosis and Treatment of Adenomyosis with Office Hysteroscopy-A Narrative Review of Literature 2023
- Ulipristal acetate use in adenomyosis: A randomized controlled trial 2020
- A Systematic Review of Tissue Sampling Techniques for the Diagnosis of Adenomyosis 2019
- Transvaginal ultrasound-guided biopsy of adenomyosis 2019
- Efficacy of multiple microwave endometrial ablation technique for menorrhagia resulting from adenomyosis 2015
- Accuracy of Hysteroscopic Endomyometrial Biopsy in Diagnosis of Adenomyosis 2015
- The accuracy of transvaginal ultrasound and uterine artery Doppler in the prediction of adenomyosis 2010
- Adenomyosis and 'endometrial-subendometrial myometrium unit disruption disease' are two different entities 2008
- [Adenomyosis] 2007
- Operative Therapie der Endometriose 2007
- New interventional techniques for adenomyosis 2006
- Transvaginal ultrasound for diagnosis of adenomyosis: a review 2006
- Microwave power and duration without extrauterine thermal damage in microwave endomyometrial ablation at 2.45 GHz 2005
- Effect of menstrual cycle and hormonal treatment on ki-67 and bcl-2 expression and adenomyosis 2005
- Hysteroscopy and adenomyosis 2000
- Adenomyosis: US features with histologic correlation in an in-vitro study 2000
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