Location of Adenomyosis in Total Hysterectomy Specimens

Charles J Ascher-Walsh, Ascher-Walsh CJ, Charles Ascher‐Walsh, Jiang Ling Tu, Tu JL, Yungling Du, Du Y, Blanco JS, Jody S Blanco, J S. Blanco
The Journal of the American Association of Gynecologic Laparoscopists · 2003 · vol. 10(3) , pp. 360–362 · doi:10.1016/s1074-3804(05)60262-9 · PMID:14567812 · W2136615210
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This study investigated the anatomical distribution of adenomyosis within hysterectomy specimens to characterize its typical locations.

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Abstract

Study objectiveTo determine the location of adenomyosis in hysterectomy specimens and estimate a risk of leaving the disease in patients undergoing supracervical hysterectomy.DesignRetrospective cohort study (Canadian Task Force classification II-2).SettingUniversity teaching hospital.SubjectsTotal hysterectomy specimens from 32 women.Measurements and main resultsEach patient had six slides representing anterior and posterior cuts of the uterus at the cervix, lower uterine segment, and fundus. Analyzing the six groups separately, no significant difference was seen in the number of nests between anterior and posterior slides at the same uterine level. A substantial difference was noted between each site and all other sites on other uterine levels. Grouping the anterior and posterior together, a significant difference was found in the number of nests between all levels (p <0.001). Evaluating only for presence of disease, no significant difference was found between the anterior and posterior of each level, a significant difference was seen between each site and sites at all other levels, and a difference was noted among all levels when the anterior and posterior were grouped (all p <0.001).ConclusionAdenomyosis has a significant propensity to be present in the uterine fundus but it is extremely rare in the cervix. Supracervical hysterectomy for adenomyosis is unlikely to leave disease in the patient as long as the entire lower uterine segment is excised.

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Condition tags

endometriosisadenomyosis

MeSH descriptors

Endometriosis Hysterectomy Uterine Cervical Diseases Uterine Diseases Cervix Uteri Cervix Uteri Cohort Studies Endometriosis Endometriosis Female Humans Retrospective Studies Uterine Cervical Diseases Uterine Cervical Diseases Uterine Diseases Uterine Diseases Uterus Uterus

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