Adenomyosis: modern diagnostic possibilities

In: Vrach · 2022 · vol. 33(8) , pp. 28–32 · doi:10.29296/25877305-2022-08-05 · W4293761110
article OA: closed CC0
Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite+body, 2026-08-02 ⓘ

This study assessed comprehensive examination results in 59 adenomyosis patients and 20 controls, finding characteristic demographic and imaging findings including increased uterine volume and altered myometrial vascularization.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by qwen3.7-flash, 2026-09-30 · read from full text ⓘ

This study evaluated comprehensive diagnostic methods for adenomyosis in 59 reproductive-aged and premenopausal patients compared to 20 controls. Researchers utilized three-dimensional ultrasound, magnetic resonance imaging, hysteroscopy, and histological examination to assess clinical characteristics and uterine morphology. The findings indicated that adenomyosis patients had significantly larger uterine volumes, increased myometrial wall asymmetry, and a junctional zone thickness of at least 12 mm in 62.5% of cases, alongside altered vascularization indices. This paper is centrally about adenomyosis — specifically focusing on the diagnostic utility of modern imaging techniques and histological verification in identifying morphological changes associated with the condition.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Full text 6,111 characters · extracted from oa-doi-fallback · 2 sections · click to expand

Keywords

gynecology adenomyosis myometrial junctional zone myometrial biopsy echography Doppler sonography magnetic resonance therapy For citation: Klinyshkova T., Chernyshova N., Soveyko E. Adenomyosis: modern diagnostic possibilities. Vrach, 2022; (8): 28-32 https://doi.org/10.29296/25877305-2022-08-05

References

- Ouchi N., Akira S., Mine K. et al. Recurrence of ovarian endometrioma after laparoscopic excision: risk factors and prevention. J Obstet Gynaecol Res. 2014; 40: 230–6. DOI: 10.1111/jog.12164 - Techatraisak K., Hestiantoro A., Ruey S. et al. Effectiveness of dienogest in improving quality of life in Asian women with endometriosis (ENVISIOeN): interim results from a prospective cohort study under reallife clinical practice. BMC Women’s Health. 2019; 19 (1): 68. DOI: 10.1186/s12905-019-0758-6 - Gusev D.V., Prilutskaya V.Yu., Chernukha G.E. Relapses of endometrioid ovarian cysts and possible ways to reduce them. Gynecology. 2020; 22 (3): 34–8 (in Russ.). DOI: 10.26442/20795696.2020.3.200144 - Klinyshkova T.V., Perfilieva O.N., Gordienko N.G. et al. Influence of ovarian endometrioma size on the state of ovarian reserve in patients with infertility. Russian Bulletin of the Obstetrician-Gynecologist. 2015; 15 (1): 47–51(in Russ.). DOI: 10.17116/rosakush201515147-51 - Vercellini P., Parazzini F., Oldani S. et al. Adenomyosis at hysterectomy: a study on frequency distribution and patient characteristics. Human Reprod. 1995; 10 (5): 1160–2. DOI: 10.1093/oxfordjournals.humrep.a136111 - Chapron C., Marcellin L., Borghese B. et al. Rethinking mechanisms, diagnosis and management of endometriosis. Nat Rev Endocrin. 2019; 15: 666–82. DOI: 10.1038/s41574-019-0245-z - Klinyshkova T.V., Perfilieva O.N., Frolova N.B. Ddifferentiated tactics of patients with endometriomas associated with infertility. Lechashchii vrach. 2015; 8: 71–5 (in Russ.). - Vercellini P., Viganò P., Somigliana E. et al. Adenomyosis: epidemiological factors. Best Pract Res Clin Obstet Gynaecol. 2006; 20 (4): 465–77. DOI: 10.1016/j.bpobgyn.2006.01.017 - Templeman C., Marshall S.F., Ursin G. et al. Adenomyosis and endometriosis in the California Teachers Study. Fertil Steril. 2008; 90 (2): 415–24. DOI: 10.1016/j.fertnstert.2007.06.027 - Tosti C., Troia L., Vannuccini S. et al. Current and future medical treatment of adenomyosis. Journal of Endometriosis and Pelvic Pain Disorders. 2016; 8(4): 127–35. DOI: 10.5301/je.5000261 - Vannuccini S., Tosti C., Carmona F. et al. Pathogenesis of adenomyosis: an update on molecular mechanisms. Reprod Biomed Online. 2017; 35 (5): 592–601. DOI: 10.1016/j.rbmo.2017.06.016 - Pinzauti S., Lazzeri L., Tosti C. et al. Transvaginal sonographic features of diffuse adenomyosis in 18–30-year-old nulligravid women without endometriosis: association with symptoms. Ultrasound Obstet Gynecol. 2015; 46 (6): 730–6. DOI: 10.1002/uog.14834 - Chapron C., Tosti C., Marcellin L. et al. Relationship between the magnetic resonance imaging appearance of adenomyosis and endometriosis phenotypes. Hum Reprod. 2017; 32 (7): 1393–401. DOI: 10.1093/humrep/dex088 - Gordts S., Brosens J., Fusi L. et al. Uterine adenomyosis: a need for uniform terminology and classification. Reprod Bio Med Online. 2008; 17: 244–8. DOI: 10.1016/s1472-6483(10)60201-5 - Ozerskaya I.A. Echography in gynecology. Ed. 2nd. M.: VIDAR, 2013; 564 р. (in Russ.). - Bazot M., Daraï E. Role of transvaginal sonography and magnetic resonance imaging in the diagnosis of uterine adenomyosis. Fertil Steril. 2018; 109 (3): 389–97. DOI: 10.1016/j.fertnstert.2018.01.024 - Exacoustos C., Brienza L., Di Giovanni A. et al. Adenomyosis: three-dimensional sonographic findings of the junctional zone and correlation with histology. Ultrasound Obstet Gynecol. 2011; 37 (4): 471–9. DOI: 10.1002/uog.8900 - Dzhamalutdinova K.M., Kozachenko I.F., Gus A.I. et al. The pathogenesis and diagnosis of adenomyosis: current aspects. Obstetrics and Gynecology. 2018; 1: 29–34 (in Russ.). DOI: 10.18565/aig.2018.1.29-34

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

adenomyosis

Citation neighborhood (no data yet)

We don't have any in-corpus citations linked to this paper yet. The paper's references may be in our DB but unresolved to ``paper_id`` (resolution happens at ingest when the cited DOI matches a row we already have). Run the cross-source citation reconcile pass to retry.

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK