Chromosome analysis of uterine adenomyosis Detection of the leiomyoma associated del(7q) in three cases
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Chromosome analysis of uterine adenomyosis detected the leiomyoma-associated del(7q) chromosomal abnormality in three cases.
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Abstract
Adenomyosis is a uterine disease whose defining characteristic is the presence deep in the myometrium of endometrial glands and stroma. The condition is believed to arise from inordinate downward growth by contiguity from the endometrium rather than from in situ metaplasia or neoplasia. No acquired chromosome abnormalities have been associated with adenomyosis before. We analyzed short-term cultures from three cases and detected in all of them a del(7) (q21.2q31.2), a karyotypic anomaly that has hitherto been found repeatedly only in uterine leiomyomas. The cytogenetic similarity to leiomyoma suggests that the del(7q) was present in the mesenchymal or, more precisely, smooth muscle cells of the adenomyosis lesions. The very fact that clonal chromosome abnormalities were present questions whether the prevailing understanding of adenomyosis pathogenesis is adequate; the cytogenetic data would better fit a model of the disease envisioning the intramyometrial endometrial foci as having arisen through a neoplastic process.
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Cited by (12)
- Polymorphism of the<i>IL13</i>gene may be associated with Uterine leiomyomas in Slovenian women 2016
- Establishment and characterization of a novel human endometrial mesenchymal stem cell line from a patient with adenomyosis 2016
- The Pathophysiology of Adenomyosis 2015
- Ultrasound studies of the endometrial-myometrial junction for the diagnosis of adenomyosis and endometrial cancer 2014
- Understanding clinical features of adenomyosis: a case control study. 2012
- Understanding cellular leiomyomas: a case-control study 2010
- Understanding adenomyosis: a case control study 2009
- Adenomyosis: the pathophysiology of an oestrogen-dependent disease 2006
- Expression of Apoptosis-Related Proteins in Adenomyotic Uteri Treated with Danazol and GnRH Agonists 2004
- The Role of CD10 Staining in Distinguishing Invasive Endometrial Adenocarcinoma from Adenocarcinoma Involving Adenomyosis 2003
- Familial Risk Among Patients with Endometriosis 1999
- The genetics of endometriosis 1999
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