Ultrasonography for the diagnosis of adenomyosis.

Fuminori Murao, F Murao, K Hata, Kohkichi Hata, K Shin, Keiko Shin, Toshiyuki Hata, T Hata, K Yoshino, Kazuo Yoshino, K Yamamoto, Kazuhiko Yamamoto, Kentaro Takahashi, K Takahashi, Manabu Kitao, M Kitao
Nihon Sanka Fujinka Gakkai zasshi · 1986 · vol. 38(11) , pp. 2073–7 · PMID:3540155 · W157052550
article OA: closed CC0 ⤵ 5 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

Ultrasonography can diagnose adenomyosis when it reveals uterine enlargement, myometrial vesicles, and an echogenic posterior wall, especially with a retroverted uterus or associated with endometriosis.

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Abstract

An accurate preoperative diagnosis of uterine adenomyosis is often difficult. We reviewed our experience with ultrasound evaluation of this pathological entity. Patients with histologically proven adenomyosis were studied to determine the usefulness of ultrasound for the preoperative diagnosis of this entity. In patients with adenomyosis, variable ultrasound patterns are seen, namely, enlargement of the uterus, irregular vesicular spaces within the myometrium, and an acoustically enhanced posterior wall of the uterus. However, leiomyoma had a similar echopattern. Based on five cases of histologically extensive adenomyoasis, an accurate diagnosis of adenomyosis proved feasible when ultrasonography showed all three ultrasonic patterns mentioned above, associated with a retroverted uterus or possible adhesions between the uterus and structures in close proximity, nodule or outgrowth in the region of the uterosacral ligaments or in combination, as frequently found in conjunction with external endometriosis. The ultrasonographical demonstration of endometrial cyst of the ovary may contribute to an accurate diagnosis of adenomyosis.

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Condition tags

endometriosisadenomyosis

MeSH descriptors

Endometriosis Ultrasonography Uterine Neoplasms Adult Endometriosis Female Humans Middle Aged Uterine Neoplasms

Citation neighborhood

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.

Cited by (5)

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