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Adenomyosis
Maryam Rezvani, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          TERMINOLOGY

          • Synonyms

            • Endometriosis interna
          • Definitions

            • Presence of heterotopic endometrial glands and stroma in myometrium with adjacent smooth muscle hypertrophy

          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

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Levy G et al: An update on adenomyosis. Diagn Interv Imaging. 94(1):3-25, 2013
                                          2. Shitano F et al: Decidualized adenomyosis during pregnancy and post delivery: three cases of magnetic resonance imaging findings. Abdom Imaging. 38(4):851-7, 2013
                                          3. Kishi Y et al: Four subtypes of adenomyosis assessed by magnetic resonance imaging and their specification. Am J Obstet Gynecol. 207(2):114, 2012
                                          4. Stamatopoulos CP et al: Value of magnetic resonance imaging in diagnosis of adenomyosis and myomas of the uterus. J Minim Invasive Gynecol. 19(5):620-6, 2012
                                          5. Novellas S et al: MRI characteristics of the uterine junctional zone: from normal to the diagnosis of adenomyosis. AJR Am J Roentgenol. 196(5):1206-13, 2011
                                          6. Takeuchi M et al: Adenomyosis: usual and unusual imaging manifestations, pitfalls, and problem-solving MR imaging techniques. Radiographics. 31(1):99-115, 2011
                                          7. Champaneria R et al: Ultrasound scan and magnetic resonance imaging for the diagnosis of adenomyosis: systematic review comparing test accuracy. Acta Obstet Gynecol Scand. 89(11):1374-84, 2010
                                          8. Woodfield CA et al: CT features of adenomyosis. Eur J Radiol. 72(3):464-9, 2009
                                          9. Dueholm M et al: Transvaginal ultrasound or MRI for diagnosis of adenomyosis. Curr Opin Obstet Gynecol. 19(6):505-12, 2007
                                          10. Bergeron C et al: Pathology and physiopathology of adenomyosis. Best Pract Res Clin Obstet Gynaecol. 20(4):511-21, 2006
                                          11. 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
                                          12. Kuligowska E et al: Pelvic pain: overlooked and underdiagnosed gynecologic conditions. Radiographics. 25(1):3-20, 2005
                                          13. Tamai K et al: MR imaging findings of adenomyosis: correlation with histopathologic features and diagnostic pitfalls. Radiographics. 25(1):21-40, 2005
                                          14. Reinhold C et al: Uterine adenomyosis: endovaginal US and MR imaging features with histopathologic correlation. Radiographics. 19 Spec No:S147-60, 1999
                                          15. 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

                                                  TERMINOLOGY

                                                  • Synonyms

                                                    • Endometriosis interna
                                                  • Definitions

                                                    • Presence of heterotopic endometrial glands and stroma in myometrium with adjacent smooth muscle hypertrophy

                                                  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

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Levy G et al: An update on adenomyosis. Diagn Interv Imaging. 94(1):3-25, 2013
                                                                                  2. Shitano F et al: Decidualized adenomyosis during pregnancy and post delivery: three cases of magnetic resonance imaging findings. Abdom Imaging. 38(4):851-7, 2013
                                                                                  3. Kishi Y et al: Four subtypes of adenomyosis assessed by magnetic resonance imaging and their specification. Am J Obstet Gynecol. 207(2):114, 2012
                                                                                  4. Stamatopoulos CP et al: Value of magnetic resonance imaging in diagnosis of adenomyosis and myomas of the uterus. J Minim Invasive Gynecol. 19(5):620-6, 2012
                                                                                  5. Novellas S et al: MRI characteristics of the uterine junctional zone: from normal to the diagnosis of adenomyosis. AJR Am J Roentgenol. 196(5):1206-13, 2011
                                                                                  6. Takeuchi M et al: Adenomyosis: usual and unusual imaging manifestations, pitfalls, and problem-solving MR imaging techniques. Radiographics. 31(1):99-115, 2011
                                                                                  7. Champaneria R et al: Ultrasound scan and magnetic resonance imaging for the diagnosis of adenomyosis: systematic review comparing test accuracy. Acta Obstet Gynecol Scand. 89(11):1374-84, 2010
                                                                                  8. Woodfield CA et al: CT features of adenomyosis. Eur J Radiol. 72(3):464-9, 2009
                                                                                  9. Dueholm M et al: Transvaginal ultrasound or MRI for diagnosis of adenomyosis. Curr Opin Obstet Gynecol. 19(6):505-12, 2007
                                                                                  10. Bergeron C et al: Pathology and physiopathology of adenomyosis. Best Pract Res Clin Obstet Gynaecol. 20(4):511-21, 2006
                                                                                  11. 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
                                                                                  12. Kuligowska E et al: Pelvic pain: overlooked and underdiagnosed gynecologic conditions. Radiographics. 25(1):3-20, 2005
                                                                                  13. Tamai K et al: MR imaging findings of adenomyosis: correlation with histopathologic features and diagnostic pitfalls. Radiographics. 25(1):21-40, 2005
                                                                                  14. Reinhold C et al: Uterine adenomyosis: endovaginal US and MR imaging features with histopathologic correlation. Radiographics. 19 Spec No:S147-60, 1999
                                                                                  15. Ferenczy A: Pathophysiology of adenomyosis. Hum Reprod Update. 4(4):312-22, 1998