Adenomyosis at hysterectomy: prevalence and relationship to operative findings and reproductive and menstrual factors.
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This study found adenomyosis in 19.5% of hysterectomy patients, significantly associated with parity, cesarean section, abortions, dysmenorrhea, abnormal bleeding, and late menarche.
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Abstract
In order to estimate the frequency and risk factors for adenomyosis, the clinical records of 594 women undergoing hysterectomy were retrieved. Data were collected on indications for the intervention, age at surgery, age at menarche, parity, abortions, mode of delivery, abnormal uterine bleeding, dysmenorrhea, and menopausal status at surgery. Adenomyosis was found in 116 of the 594 patients (19.5%). A pathologic condition was present in 63 patients with fibroids (20.5%), 11 with genital prolapse (25.6%), 11 with benign ovarian tumors (17.8%), six with endometrial hyperplasia (13.6%), two with cervical cancer (18.2%), ten with endometrial cancer (16.1%), and 13 with ovarian cancer (21.3%). No relationship was found between adenomyosis and endometriosis. On the contrary, a strong relationship was found between adenomyosis and parity, cesarean section, induced abortions, dysmenorrhea, abnormal uterine bleeding, and late age at menarche. These results show that adenomyosis is a common pathologic finding, significantly related to reproductive and menstrual characteristics of the patients.
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- The Association of Sonographic Evidence of Adenomyosis with Severe Endometriosis and Gene Expression in Eutopic Endometrium 2018
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- Differences in the clinical phenotype of adenomyosis and leiomyomas: a retrospective, questionnaire-based study 2014
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- Understanding clinical features of adenomyosis: a case control study. 2012
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- Future developments in the medical treatment of abnormal uterine bleeding 2011
- Faculty Opinions recommendation of HOXA10 expression is decreased in endometrium of women with adenomyosis. 2011
- Clinical characteristics indicating adenomyosis at the time of hysterectomy: a retrospective study in 291 patients 2011
- Intermittent low back pain referred from a uterine adenomyosis: a case report 2011
- A Case-Control Investigation of Adenomyosis: Impact of Control Group Selection on Risk Factor Strength 2011
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- Characteristics indicating adenomyosis coexisting with leiomyomas: a case-control study 2010
- High-intensity focused ultrasound ablation of uterine localized adenomyosis 2010
- HOXA10 expression is decreased in endometrium of women with adenomyosis 2010
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