Adenomyosis

Gabriele Tonni, Alessandro Ventura
In: Journal of Diagnostic Medical Sonography · 2005 · vol. 21(3) , pp. 267–272 · doi:10.1177/8756479305274584 · W2025346235
article OA: bronze CC0 ⤵ 1 in-corpus citation
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

Transvaginal power Doppler sonography aids in differentiating adenomyosis from leiomyomata by analyzing vascular patterns and can guide conservative hysteroscopic resection of adenomyosis in select patients.

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Abstract

The present study confirms the potential use of transvaginal power Doppler sonography in the field of pelvic inflammatory disease such as endometriosis, as well as its usefulness in the subtle differential instrumental diagnosis between adenomyosis and leiomyomata. Transvaginal power Doppler application is critical in studying the vascular tree of such lesions and can aid clinicians in planning the most appropriate therapeutic strategy. The differential diagnosis using power Doppler sonography is based on vascular characteristics. Adenomyosis is characterized by a preserved vascular texture supply that results in dilated spiral arteries running perpendicular toward the myometrium into the endometrial surface. Leiomyomata exhibits a vascular tree that typically circumscribes the solid mass. Nodular stage II adenomyosis in young, infertile patients may be treated with a conservative hysteroscopic resection of the myometrium under laparoscopic guidance. 2D or 3D transvaginal power Doppler angiography should be used to improve diagnostic sensitivity and facilitate appropriate therapeutic intervention.

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Condition tags

endometriosisadenomyosis

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.

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