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Adenomyoma
Maryam Rezvani, MDJeffrey Dee Olpin, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Definitions

              • Solid, mass-like, localized form of adenomyosis
              • Distinct from segmental adenomyosis

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Ultrasonographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Gross Pathologic & Surgical Features

                              • Microscopic Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Cunningham RK et al: Adenomyosis: a sonographic diagnosis. Radiographics. 38(5):1576-89, 2018
                                          2. Levy G et al: An update on adenomyosis. Diagn Interv Imaging. 94(1):3-25, 2013
                                          3. Song SE et al: MR imaging features of uterine adenomyomas. Abdom Imaging. 36(4):483-8, 2011
                                          4. Takeuchi M et al: Adenomyosis: usual and unusual imaging manifestations, pitfalls, and problem-solving MR imaging techniques. Radiographics. 31(1):99-115, 2011
                                          5. Kitajima K et al: Magnetic resonance imaging of typical polypoid adenomyoma of the uterus in 8 patients: correlation with pathological findings. J Comput Assist Tomogr. 31(3):463-8, 2007
                                          6. Chopra S et al: Adenomyosis:common and uncommon manifestations on sonography and magnetic resonance imaging. J Ultrasound Med. 25(5):617-27; quiz 629, 2006
                                          7. Tahlan A et al: Uterine adenomyoma: a clinicopathologic review of 26 cases and a review of the literature. Int J Gynecol Pathol. 25(4):361-5, 2006
                                          8. Kuligowska E et al: Pelvic pain: overlooked and underdiagnosed gynecologic conditions. Radiographics. 25(1):3-20, 2005
                                          9. Tamai K et al: MR imaging findings of adenomyosis: correlation with histopathologic features and diagnostic pitfalls. Radiographics. 25(1):21-40, 2005
                                          10. Ferenczy A: Pathophysiology of adenomyosis. Hum Reprod Update. 4(4):312-22, 1998
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Pathology

                                                  • Clinical Issues

                                                    TERMINOLOGY

                                                    • Definitions

                                                      • Solid, mass-like, localized form of adenomyosis
                                                      • Distinct from segmental adenomyosis

                                                    IMAGING

                                                    • General Features

                                                      • Radiographic Findings

                                                        • CT Findings

                                                          • MR Findings

                                                            • Ultrasonographic Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Gross Pathologic & Surgical Features

                                                                      • Microscopic Features

                                                                        CLINICAL ISSUES

                                                                        • Presentation

                                                                          • Demographics

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Cunningham RK et al: Adenomyosis: a sonographic diagnosis. Radiographics. 38(5):1576-89, 2018
                                                                                  2. Levy G et al: An update on adenomyosis. Diagn Interv Imaging. 94(1):3-25, 2013
                                                                                  3. Song SE et al: MR imaging features of uterine adenomyomas. Abdom Imaging. 36(4):483-8, 2011
                                                                                  4. Takeuchi M et al: Adenomyosis: usual and unusual imaging manifestations, pitfalls, and problem-solving MR imaging techniques. Radiographics. 31(1):99-115, 2011
                                                                                  5. Kitajima K et al: Magnetic resonance imaging of typical polypoid adenomyoma of the uterus in 8 patients: correlation with pathological findings. J Comput Assist Tomogr. 31(3):463-8, 2007
                                                                                  6. Chopra S et al: Adenomyosis:common and uncommon manifestations on sonography and magnetic resonance imaging. J Ultrasound Med. 25(5):617-27; quiz 629, 2006
                                                                                  7. Tahlan A et al: Uterine adenomyoma: a clinicopathologic review of 26 cases and a review of the literature. Int J Gynecol Pathol. 25(4):361-5, 2006
                                                                                  8. Kuligowska E et al: Pelvic pain: overlooked and underdiagnosed gynecologic conditions. Radiographics. 25(1):3-20, 2005
                                                                                  9. Tamai K et al: MR imaging findings of adenomyosis: correlation with histopathologic features and diagnostic pitfalls. Radiographics. 25(1):21-40, 2005
                                                                                  10. Ferenczy A: Pathophysiology of adenomyosis. Hum Reprod Update. 4(4):312-22, 1998