Adenomyosis and Adenomyomata

In: Uterine Myoma, Myomectomy and Minimally Invasive Treatments · 2014 · pp. 95–108 · doi:10.1007/978-3-319-10305-1_7 · W79781574
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Adenomyosis presents diagnostic and operative challenges, with MRI and ultrasound accurately identifying diffuse forms but some subtypes mimicking other conditions.

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This Springer chapter reviews uterine adenomyosis and adenomyomata, emphasizing that while diffuse adenomyosis is often diagnosed correctly using MRI or vaginal ultrasonography, certain lesion subtypes can mimic or coincide with other clinical entities and have historically been grouped as “focal adenomyosis.” Drawing on the existing literature, it frames adenomyosis as a diagnostic and operative challenge and highlights that heterogeneous presentations can complicate therapeutic decision-making. The chapter’s main limitation is that it is a narrative review rather than an original study with defined study cohorts or prospectively stated diagnostic/clinical endpoints. Relevance to endometriosis: the chapter cites work discussing the pathophysiology of endometriosis and adenomyosis (e.g., tissue injury and repair), though its primary focus is adenomyosis and adenomyomata rather than endometriosis. This paper is centrally about adenomyosis — it reviews uterine adenomyosis and adenomyomata and the challenge of distinguishing focal subtypes.

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Abstract

Uterine adenomyosis has been, and remains, a diagnostic and operative challenge. Most cases of diffused adenomyosis are correctly diagnosed by MRI or vaginal ultrasonography. However, some sub-types of adenomyotic lesions can disguise themselves or coincide with a diversity of clinical entities causing symptoms that don’t necessarily direct you to the ideal therapeutic decision. Generally, all these lesions have, until now, been grouped under the title of focal adenomyosis. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

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