[Stratified treatment and management of adenomyosis].

Xinmei Zhang; Zhang X; Ping Xu; Xu P

doi:10.3785/j.issn.1008-9292.2019.04.01

[Stratified treatment and management of adenomyosis].

Xinmei Zhang, Zhang X, Ping Xu, Xu P

Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2019 · vol. 48(2) , pp. 123–129 · doi:10.3785/j.issn.1008-9292.2019.04.01 · PMID:31309748 · PMC8800641 · W2970319619

article OA: green CC0 ⤵ 4 in-corpus citations

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⚙ AI-generated summary by claude@2026-06, 2026-06-12 ⓘ

This paper proposes stratified treatment for adenomyosis based on 3D imaging, patient age, clinical presentation, and reproductive needs, recommending long-term drug management post-excision to prevent recurrence.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-12 · read from full text ⓘ

The provided text does not include the paper’s substantive content (e.g., study design, participants, methods, results, or stated limitations), only the journal website navigation and metadata around a Chinese title about stratified treatment and management of adenomyosis. Because no experimental or descriptive details are present in the supplied excerpt, the key findings and any explicit caveats cannot be determined from what was provided. This paper is centrally about adenomyosis — it focuses on stratified treatment and management, though endometriosis is not discussed in the excerpt you shared.

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Abstract

In recent years, surgical and non-surgical excision and drug therapy have replaced hysterectomy as the main therapeutic modalities for adenomyosis. It is suggested that the precise clinical diagnosis should be based on the reconstruction of digitized three-dimensional model with original image data of adenomyosis. Patients' age and clinical manifestations should also be considered, and the patients should be stratified according to reproductive requirements, so as to determine the best treatment. In view of the infiltration and diffuse growth of adenomyosis lesions in the myometrium of the uterus, it is suggested that long-term drug management should be adopted after surgical or non-surgical lesion resection.Gonadotropin releasing hormone agonists, levonorgestrel-releasing intrauterine system, dienogest and short-acting oral contraceptives should be recommended to consolidate the curative effect in order to delay the progress of the disease and prevent recurrence.

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Condition tags

adenomyosis

MeSH descriptors

Adenomyosis Adenomyosis Adenomyosis Adenomyosis Female Humans Recurrence

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.

References (24)

Cited by (4)

Source provenance

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License: CC0 · commercial use OK

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[2] Adenomyosis and adverse perinatal outcomes: increased risk of second trimester miscarriage, preeclampsia, and placental malposition via openalex

[3] Adenomyosis: A Sonographic Diagnosis via openalex

[4] Adenomyosis: fertility and obstetric outcome. A comprehensive literature review via openalex

[5] Clinical outcomes of infertility treatment for women with adenomyosis in Japan via openalex

[6] Complications and outcomes of pregnant women with adenomyosis in Japan via openalex

[7] Conservative surgery of uterine adenomyosis via laparoscopic versus laparotomic approach in a single institution via openalex

[8] Efficacy of laparoscopic adenomyomectomy using double-flap method for diffuse uterine adenomyosis via openalex

[9] Elusive adenomyosis: a plea for an international classification system to allow artificial intelligence approaches to reset our clinical management via openalex

[10] Evaluation of the efficacy and safety of dienogest in the treatment of painful symptoms in patients with adenomyosis: a randomized, double-blind, multicenter, placebo-controlled study via openalex

[11] Fertility-Sparing Treatment of Adenomyosis in Patients With Infertility: A Systematic Review of Current Options via openalex

[12] High intensity focused ultrasound treatment of adenomyosis: The relationship between the features of magnetic resonance imaging on T2 weighted images and the therapeutic efficacy via openalex

[13] Long‐term dienogest administration in patients with symptomatic adenomyosis via openalex

[14] Outcomes in Adenomyosis Treated with Uterine Artery Embolization Are Associated with Lesion Vascularity: A Long-Term Follow-Up Study of 252 Cases via openalex

[15] Role of transvaginal sonography and magnetic resonance imaging in the diagnosis of uterine adenomyosis via openalex

[16] Safety of ultrasound-guided high-intensity focused ultrasound ablation for diffuse adenomyosis: A retrospective cohort study via openalex

[17] Surgery in adenomyosis via openalex

[18] Symptoms and classification of uterine adenomyosis, including the place of hysteroscopy in diagnosis via openalex

[19] Uterine adenomyosis and adenomyoma: the surgical approach via openalex

[20] Uterine Artery Embolization for Symptomatic Adenomyosis: 7-Year Clinical Follow-up Using UFS-Qol Questionnaire via openalex

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