Gynecologic Adenomyosis and Endometriosis

Saro B. Manoukian, Nicholas H. Shaheen, Daniel J. Kowal
In: Contemporary Diagnostic Radiology · 2015 · vol. 38(7) , pp. 1–6 · doi:10.1097/01.cdr.0000462575.89477.c2 · W2314117109
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Abstract

Adenomyosis and endometriosis are gynecologic processes with characteristic pathophysiologic, clinical, and imaging differences. Although adenomyosis refers to the presence of heterotopic endometrial glands and stroma within the myometrium, endometriosis involves the presence of endometrial glands and stroma outside of the uterus (Figure 1). Patients with either adenomyosis or endometriosis can have a similar clinical presentation. Imaging can be of great utility in differentiating between these 2 gynecologic pathologic processes, thereby guiding appropriate clinical management. Accurate diagnosis also is important because endometriosis has potentially more significant complications. Finally, differentiating an ovarian endometrioma from its mimics can obviate the need for more invasive procedures, such as laparoscopy or oophorectomy.

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endometriosisadenomyosisendometrioma

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