Adenomyosis: Pictorial Essay of Two-Dimensional and Three-Dimensional Ultrasonography Findings

Mihaela Grigore
In: Donald School Journal of Ultrasound in Obstetrics and Gynecology · 2015 · vol. 9(2) , pp. 188–192 · doi:10.5005/jp-journals-10009-1404 · W2957573636
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This pictorial essay outlines the key two-dimensional and three-dimensional ultrasonography findings for diagnosing adenomyosis, including anechoic foci, striation, heterogeneous myometrium, asymmetrical uterine wall, and endometrial-myometrial junction disruptions.

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Abstract

ABSTRACT Purpose Adenomyosis is a common gynecological disease that is defined as the presence of nonneoplastic ectopic endometrial glands and stroma in the myometrium. These characteristics are associated with reactive overgrowth of the musculature. The aim of this pictorial essay was to delineate the specific sonographic features of adenomyosis as seen with twodimensional (2D) and three-dimensional (3D) ultrasonography. Methods Evaluation of the adenomyosis is best achieved in daily practice with transvaginal ultrasonography. Results The most important features of adenomyosis are anechoic foci, striation, heterogeneous myometrium, and an asymmetrical uterine wall. All of these features were seen in this study by 2D ultrasonography. Three-dimensional ultrasonography allowed visualization of the thickness and disruption of the endometrial-myometrial junction. Conclusion Two-dimensional and 3D ultrasonography are valuable tools for diagnosing adenomyosis even in early stages of the disease because they make it possible to evaluate both the myometrium and the endometrial-myometrial junction. The combined information gained from the 2D and 3D ultrasonography examinations not only allows diagnosis of adenomyosis but also pinpoints the current stage of the disease. How to cite this article Grigore M. Adenomyosis: Pictorial Essay of Two-Dimensional and Three-Dimensional Ultrasonography Findings. Donald School J Ultrasound Obstet Gynecol 2015;9(2):188-192.

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adenomyosis

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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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