Adenomyosis

In: Reproduktionsmedizin · 2013 · pp. 367–374 · doi:10.1007/978-3-642-30181-0_32 · W4240738225
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Adenomyosis results from the invasion of the basal endometrium into the myometrium, appearing on MRI as a hypodense, widened junctional zone.

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This paper/chapter describes adenomyosis as a disease caused by invasion of basal endometrium into the surrounding myometrium, framing it as an “archimetra” condition composed of endometrium and the subendometrial archimyometrium (junctional zone). It reports that on MRI, adenomyosis appears as a hypodense, thickened junctional zone, particularly on the posterior uterine wall. It also states supporting histologic/diagnostic context via prior references, but it does not present new empirical data or specify a study population, methods, or results of its own. This paper is centrally about endometriosis and/or adenomyosis — it focuses on adenomyosis’ definition and MRI appearance.

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Zusammenfassung Die Adenomyose resultiert aus der Invasion des basalen Endometriums in das umgebende Myometrium (Bazot et al. 2001) und stellt damit eine Erkrankung der sog. Archimetra dar, die aus dem Endometrium selbst sowie dem subendometrialen Endometrium (= Archimyometrium = Junktionalzone) besteht (Bazot et al. 2001; Leyendecker et al. 2002). Die Adenomyosis uteri stellt sich im MRT als hypodense verbreiterte Junktionalzone insbesondere an der Uterushinterwand dar (Kunz et al. 2007). Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Preview Unable to display preview. Download preview PDF. Similar content being viewed by others Literatur Abou-Setta AM, Al-Inany HG, Farquhar CM (2006) Levonorgestrel-releasing intrauterine device (LNG-IUD) for symptomatic endometriosis following surgery. 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Hum Reprod 17: 2725–2736 Molinas CR, Campo R (2006) Office hysteroscopy and adenomyosis. Best Pract Res Clin Obstet Gynaecol 20: 557–67 Osada H, Silber S, Kakinuma T, Nagaishi M, Kato K, Kato O (2011) Surgical procedure to conserve the uterus for future pregnancy in patients suffering from massive adenomyosis. Reprod Biomed Online 22: 94–99 Parazzini F, Vercellini P, Panazza S, Chatenoud L, Oldani S, Croisignani PG (1997) Risk factors for ademyosis. Hum Reprod 12: 1275–1279 Parazzini F, Mais V, Cipriani S, Busacca M, Venturini P; GISE (2009) Determinants of adenomyosis in women who underwent hysterectomy for benign gynecological conditions: results from a prospective multicentric study in Italy. Eur J Obstet Gynecol Reprod Biol 143: 103–106 Parker JD, Leondires M, Sinaii N, Premkumar A, Nieman LK, Stratton P (2006) Persistence of dysmenorrhea and nonmenstrual pain after optimal endometriosis surgery may indicate adenomyosis. 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Fertil Steril 91: 201–206 Yang Z, Cao YD, Hu LN, Wang ZB (2009) Feasibility of laparoscopic high-intensity focused ultrasound treatment for patients with uterine localized adenomyosis. Fertil Steril 91: 2338–2343 Yeniel O, Cirpan T, Ulukus M, Ozbal A, Gundem G, Ozsener S, Zekioglu O, Yilmaz H (2007) Adenomyosis: prevalence, risk factors, symptoms and clinical findings. Clin Exp Obstet Gynecol 34: 163–167 Yoon SW, Kim KA, Cha SH, Kim YM, Lee C, Na YJ, Kim SJ (2008) Successful use of magnetic resonance-guided focused ultrasound surgery to relieve symptoms in a patient with symptomatic focal adenomyosis. Fertil Steril 90: 2018.e13–15 Zacharia TT, O’Neill MJ (2006) Prevalence and distribution of adnexal findings suggesting endometriosis in patients with MR diagnosis of adenomyosis. Br J Radiol 79: 303–307 Zaloudek C, Norris HJ Mesenchymal tumors of the uterus. In: Kurmann RJ, ed. Blaunstein´s Pathology of the Female Genital Tract. 3rd ed. New York, NY: Springer-Verlag 1987: 374 Zhang X, Yuan H, Deng L, Hu F, Ma J, Lin J (2008) Evaluation of the efficacy of a danazol-loaded intrauterine contraceptive device on adenomyosis in an ICR mouse model. Hum Reprod 23: 2024–2030 Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 2013 Springer-Verlag Berlin Heidelberg About this chapter Cite this chapter Nawroth, F. (2013). Adenomyosis. In: Diedrich, K., Ludwig, M., Griesinger, G. (eds) Reproduktionsmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-30181-0_32 Download citation DOI: https://doi.org/10.1007/978-3-642-30181-0_32 Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-642-30180-3 Online ISBN: 978-3-642-30181-0 eBook Packages: Medicine (German Language)

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