Sonographic findings in adenomyosis of the uterus
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Sonograms of pathologically proven adenomyosis showed enlarged uteri with thickened posterior walls and decreased echogenicity, suggesting the diagnosis when these findings are present.
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Abstract
In an attempt to define better the sonographic findings of adenomyosis of the uterus, we reviewed sonograms in seven cases of pathologically proven extensive adenomyosis without associated uterine diseases. In all cases, the uterus was enlarged. In five cases, the posterior wall of the uterus was thickened, and echoes in the endometrial cavity were eccentric. Six cases showed a slight decrease in uterine echogenicity. One case had sonographic findings suggestive of a calcified leiomyoma. The diagnosis of adenomyosis cannot be made conclusively by sonography. However, it can be suggested if the uterus is slightly enlarged and if the posterior portion of the myometrium is anechoic and thickened.
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References (4)
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- Pathologic and clinical aspects of adenomyosis and endometriosis via openalex
- W1508764659 via openalex
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- Evaluation of transvaginal ultrasound role in the prediction of adenomyosis: correlation with histopathology 2021
- Comparison of Sensitivity and Specificity of Structured and Narrative Reports of Transvaginal Ultrasonogaphy for Adenomyosis 2020
- Diagnosing adenomyosis: an integrated clinical and imaging approach 2020
- Clinical Efficacy and Safety of Major Uterine Wall Resection and Reconstruction of the Uterus Combined with LNG-IUS for the Treatment of Severe Adenomyosis 2019
- Classification and Reporting Systems for Adenomyosis 2019
- Adenomyosis: A Sonographic Diagnosis 2018
- Accuracy of Hysteroscopic Endomyometrial Biopsy in Diagnosis of Adenomyosis 2015
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- The immunoprofile of interstitial Cajal cells within adenomyosis/endometriosis lesions. 2015
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- Diagnostic accuracy of transvaginal sonography for the diagnosis of adenomyosis: systematic review and metaanalysis 2009
- Transvaginal sonography for the assessment of ovarian and pelvic endometriosis: how deep is our understanding? 2009
- Adenomyosis and ‘endometrial– subendometrial myometrium unit disruption disease’ are two different entities 2008
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- Imagerie de l'adénomyose 2005
- Pelvic Pain: Overlooked and Underdiagnosed Gynecologic Conditions 2005
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- Uterine adenomyosis in the infertility clinic 2003
- Sonographic Findings in Patients with Adenomyosis: Can Sonography Assist in Predicting Extent of Disease? 2002
- Limitations of transvaginal sonography for the diagnosis of adenomyosis, with histopathological correlation 2002
- A case notes analysis of hysterectomy performed for non-neoplastic indications at Liaquat National Hospital, Karachi. 2001
- Ultrasonography compared with magnetic resonance imaging for the diagnosis of adenomyosis: correlation with histopathology 2001
- Adenomyosis: US Features with Histologic Correlation in an in Vitro Study 2000
- Adenomyosis: sonographic findings and diagnostic accuracy. 2000
- 10.1016/s0246-1064(13)59690-3 2000
- Hysteroscopy and Adenomyosis 2000
- Hysteroscopic myometrial biopsy in unexplained abnormal uterine bleeding 1999
- Transvaginal ultrasound in the diagnosis of diffuse adenomyosis 1998
- Pathophysiology of adenomyosis 1998
- Adenomyosis, Leiomyomata, and Pelvic Pain 1998
- Imaging features of adenomyosis 1998
- Magnetic Resonance Imaging Versus Ultrasound in the Assessment of Benign Uterine Lesions 1998
- Laparoscopic Diagnosis of Adenomyosis : a Case Report 1997
- Adenomyosis; diagnosed by transvaginal ultrasonography: A case report 1995
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