Adenomyosis: Pathologies associated in a set of patients underwent hysterectomy

Luis Humberto Sordia-Hernández, Julio Herrero, Arturo Morales Martinez, Jose María Gris, Jean‐Christophe Gris, Donato Saldívar Rodríguez, Óscar Vidal Gutiérrez, Celina Tamaki Monteiro de Castro
In: Asian Pacific Journal of Reproduction · 2012 · vol. 1(4) , pp. 283–286 · doi:10.1016/s2305-0500(13)60093-7 · W2015100589
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This study found adenomyosis in 17.6% of hysterectomy patients, with higher prevalence associated with endometriosis and a history of two or more curettages.

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Abstract

To determine if a relationship exists between the histopathological diagnosis of adenomyosis and the clinical conditions and pathologies that are more commonly related to it in patients undergoing hysterectomy. Retrospective, comparative, case-control study was conducted. With previous approval by ethics committee, we included 794 patients undergoing hysterectomy at a University Hospital. The Medical records and pathology reports of patients undergoing hysterectomy over a two-year period were reviwed. Clinical conditions and associated pathologies, in patients with and without adenomyosis, were reviewed and compared. Statistical analysis was done using the Chi-square test. Adenomyosis was reported in 140 out of 794 patients, 17.6% (95% CI: 15.1–20.4). No differences in adenomyosis prevalence were found among patients with or without uterine fibroids, 20.2% (75/371) vs. 15.5% (65/423); endometrial polyps, 9.7% (6/62) vs. 18.3% (134/732); and the presence or lack of endometrial hyperplasia 13.9% (5/36) vs. 17.4% (135/758). The prevalence of adenomyosis among patients with endometriosis was 40.7% (11/27), and among those without this diagnosis, 16.8% (129/767). This difference was significant (P=0.001). A history of two or more curettages was also positively related to adenomyosis. There was a statistically significant difference in the prevalence of adenomyosis in women with endometriosis when compared to women without endometriosis. A higher incidence of adenomyosis was found in patients with a history of two or more curettages. Trauma to the endometrium could explain the higher incidence of adenomyosis in both conditions.

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endometriosisadenomyosis

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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