A case of adenomyosis in an overweighing uterus*

In: http://www.epd.org.tr/pdf/41.pdf · 2005 · W2189552721
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Histological examination of a 400g hysterectomy specimen revealed adenomyosis causing significant uterine enlargement, which was initially misdiagnosed as leiomyomas.

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Abstract

Background: Adenomyosis can not be usually diagnosed accurately and differentiated from leiomyoma before histological examination in a hysterectomy material. Case: A 37-year-old woman underwent abdominal hysterectomy and unilateral salpingo-oophorectomy for menorrhagia with an initial clinical diagnosis of multiple intramural leiomyomas. Histological examination showed foci of adenomyosis in the myometrium. The specimen was 400 g in weight. No leiomyomatous nodule was detected on the serial sections of the myometrium. Conclusion: This case appears to be a nice example of how adenomyosis can cause significant enlargement of the uterus and may be misdiagnosed as leiomyomatosis.

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adenomyosis

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