Comparison between clinical characteristics of adenomyosis and hysteromyoma

Objective To investigate the differences in clinical characteristics between adenomyosis and hysteromyoma so as to improve the preoperative diagnosis of adenomyosis. Methods 42 cases of adenomyosis and 57 cases of hysteromyoma were selected. A comparative study was conducted over their ages of the onset, clinical manifestations, results of ultrasound B and levels of serum CA125, and CA199. Results The two groups of patients were similar in ages of onset and clinical manifestations. However, dysmenorrhea was more prominent in the group of adenomyosis than in hysteromyoma with a statistically significant difference(P0.01). In adenomyosis, the level of serum CA125 was increased evidently and the positive rate was 78.57%, much higher than that in hysteromyoma (5.26%,P0.05); ultrasonography showed some characteristic pictures. There was no statistically significant difference in serum level of CA199 between adenomyosis and dysmenorrhea(P0.05). Conclusions The differentiation of adenomyosis with hystermyomas was basically dependent on clinical manifestations and the imaging of ultrasonography B. Detection of serum CA125 was certainly valuable to differential diagnosis between adenomyosis and hysteromyomas.