Adenomyosis Uteri: A Study of 416 Cases
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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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References (10)
- Adenomyosis: A clinical and pathologic appraisal via openalex
- Adenomyosis and abnormal uterine bleeding. via openalex
- Adenomyosis: a neglected diagnosis. via openalex
- Adenomyosis; a neglected diagnosis. via openalex
- Adenomyosis: A reappraisal of symptomatology via openalex
- Adenomyosis: study in a Jewish female population. via openalex
- Adenomyosis uteri via openalex
- The elusive adenomyosis of the uterus via openalex
- The elusive adenomyosis of the uterus—revisited via openalex
- W6717353725 via openalex
Cited by (10)
- The Incidence and Clinical Impact of Adenomyosis 2021
- Epidemiology of Adenomyosis 2020
- Benign Uterine Diseases 2019
- A retrospective clinico-pathological study of hysterectomy cases in a tertiary care hospital in India – a review of 950 cases. 2018
- Histopathology findings in patients presenting with menorrhagia: A study of 100 hysterectomy specimen 2015
- Short-term results of magnetic resonance imaging-guided focused ultrasound surgery for patients with adenomyosis: symptomatic relief and pain reduction 2010
- Predictive value of magnetic resonance imaging in differentiating between leiomyoma and adenomyosis. 2007
- Neonatal tamoxifen treatment of mice leads to adenomyosis but not uterine cancer 2005
- Adenomyosis in a patient with mosaic Turner?s syndrome 2004
- The Role of CD10 Staining in Distinguishing Invasive Endometrial Adenocarcinoma from Adenocarcinoma Involving Adenomyosis 2003
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