Adenomyosis Uteri: A Study of 416 Cases

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AI-generated summary by claude@2026-06, 2026-06-07

Adenomyosis was diagnosed in 16% of hysterectomy specimens from multiparous women aged 30-50, commonly presenting with abnormal uterine bleeding, myohyperplasia, and leiomyomas.

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Abstract

EDITORIAL COMMENT: This essay on adenomyosis confirms that the patient is usually a multipara with menorrhagia and uterine enlargement, often with associated fibromyomas — this sentence also describes the type of patient coming to hysterectomy whose uterus does not show the histological features of adenomyosis. It would be interesting to see these clinical features documented in a prospective series to test the strength of the correlation between adenomyosis and menorrhagia with regular uterine enlargement. The editor was interested to note the absence of uterine tenderness and low incidence (10%) of dyspareunia in this series, since his clinical impression is that the multipara with menorrhagia and uterine enlargement often has a tender uterus which in the hands of the pathologist shows evidence of adenomyosis. Perhaps an interested reader will examine this impression scientifically! Summary: Adenomyosis was noted in 16% of 2,616 consecutive hysterectomy specimens examined during a 7‐year period. Multiparas between the ages of 30 and 50 years were most commonly affected. Abnormal uterine bleeding was the common symptom. Myohyperplasia and leiomyomas were the usual associated lesions. Adenomyosis uteri was seen equally in women of African, Indian and mixed races in this West Indian population.

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Condition tags

adenomyosisdyspareunia

MeSH descriptors

Leiomyoma Uterine Neoplasms Adult Female Humans Hysterectomy Leiomyoma Middle Aged Uterine Neoplasms Uterus Uterus

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References (10)

Cited by (10)

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europepmc
last seen: 2026-06-04T01:30:01.192114+00:00
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