[Adenomyosis. Diagnostic technique and treatment]

STUDY OBJECTIVE: A retrospective analysis of ultrasound diagnosis of adenomyosis. DESIGN: Evaluation of 149 cases of hysterectomy excluding cases of ovarian and/or cervical carcinoma. MATERIAL AND METHODS: Pre-operative ultrasound results were analyzed in 149 cases of hysterectomy. Uterine morphometry and myometrial echogenicity were assessed. RESULTS: Adenomyosis was diagnosed in 19 cases of hysterectomy. Preoperative ultrasound demonstrated a sensitivity of 88.8% and specificity of 94.6%. No correlations of adenomyosis with uterine leiomyomas or endometrial pathology were found. CONCLUSION: Adenomyosis was found in 12% of non-oncological cases of hysterectomy. Preoperative ultrasound established the diagnosis of adenomyosis.