Introduction

In: Radiology Illustrated: Gynecologic Imaging · 2012 · pp. 143–145 · doi:10.1007/978-3-642-05325-2_9 · W4214949018
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AI-generated summary by claude@2026-06+body, 2026-06-13

This chapter describes imaging features of adenomyosis, including unusual presentations and differential diagnoses, as it can present diagnostic challenges due to varied imaging appearances.

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This chapter describes adenomyosis as a common non-neoplastic uterine disease characterized pathologically by ectopic endometrial tissue with myometrial inflammatory change, and it reviews how transvaginal ultrasonography is used for primary screening while MRI is considered confirmatory for diagnosis. It explains that adenomyosis often diffusely involves the myometrium causing muscular hypertrophy, but can also appear localized and mimic other uterine lesions such as myoma, endometrial cancer, or myometrial contraction, creating diagnostic dilemmas. The chapter’s limitation is that, as an introductory instructional overview, it does not present original study data or quantify diagnostic performance within the text provided. This paper is centrally about endometriosis— it does not address endometriosis as a main topic; instead, it focuses on adenomyosis imaging features, diagnosis, and differential diagnoses where ectopic endometrial tissue is discussed in relation to adenomyosis.

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Abstract

Adenomyosis is a common non-neoplastic uterine disease pathologically composed of ectopic endometrial tissue and a myometrial inflammatory change. Transvaginal ultrasonography is used as a primary imaging modality for screening adenomyosis and MRI is considered to be a confirmative study for diagnosing adenomyosis. Frequently, adenomyosis diffusely involves myometrium, resulting in muscular hypertrophy. Less frequently, the lesion can manifest a localized form that resembles various uterine lesions including myoma, endometrial cancer, and myometrial contraction. Since adenomyosis can show various imaging features, it may cause a diagnostic dilemma. This chapter will describe imaging features of adenomyosis, unusual types or growth patterns of adenomyosis, and differential diagnoses. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others Suggested Reading Brosens JJ, De souza NM, Barker FG, et al. 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MR imaging findings of adenomyosis: correlation with histopathologic features and diagnostic pitfalls. Radiographics. 2005;25:21–40. Troiano RN, Flynn SD, McCarthy S. Cystic adenomyosis of the uterus: MRI. JMRI. 1998;8:1198–202. Williams PL, Laifer-Narin SL, Ragavendra N. US of abnormal uterine bleeding. Radiographics. 2003;23:703–18. Wong-You-Cheong JJ, Woodward PJ, Manning MA, et al. From the archives of the AFIP: inflammatory and nonneoplastic bladder masses: radiologic-pathologic correlation. Radiographics. 2006;26:1847–68. Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2012 Springer-Verlag Berlin Heidelberg About this chapter Cite this chapter Park, B.K. (2012). Introduction. In: Kim, S. (eds) Radiology Illustrated: Gynecologic Imaging. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-05325-2_9 Download citation DOI: https://doi.org/10.1007/978-3-642-05325-2_9 Published: Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-642-05323-8 Online ISBN: 978-3-642-05325-2 eBook Packages: MedicineMedicine (R0)

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