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Adenomyosis
Adnaan Moin, MD; Barton F. Lane, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Synonyms

              • Uterine endometriosis
              • Endometriosis interna
            • Definitions

              • Heterotopic endometrial tissue within myometrium with adjacent smooth muscle hyperplasia

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • MR Findings

                  • Fluoroscopic Findings

                    • Saline-Infused Hysterosonography

                      • 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. Van den Bosch T et al: Terms and definitions for describing myometrial pathology using ultrasonography. Ultrasound Obstet Gynecol. ePub, 2015
                                          2. Boeer B et al: Differences in the clinical phenotype of adenomyosis and leiomyomas: a retrospective, questionnaire-based study. Arch Gynecol Obstet. 289(6):1235-9, 2014
                                          3. Genc M et al: Adenomyosis and accompanying gynecological pathologies. Arch Gynecol Obstet. ePub, 2014
                                          4. Pistofidis G et al: Distinct types of uterine adenomyosis based on laparoscopic and histopathologic criteria. Clin Exp Obstet Gynecol. 41(2):113-8, 2014
                                          5. Riggs JC et al: Cesarean section as a risk factor for the development of adenomyosis uteri. J Reprod Med. 59(1-2):20-4, 2014
                                          6. Levy G et al: An update on adenomyosis. Diagn Interv Imaging. 94(1):3-25, 2013
                                          7. Taran FA et al: Adenomyosis: Epidemiology, Risk Factors, Clinical Phenotype and Surgical and Interventional Alternatives to Hysterectomy. Geburtshilfe Frauenheilkd. 73(9):924-931, 2013
                                          8. Naftalin J et al: How common is adenomyosis? A prospective study of prevalence using transvaginal ultrasound in a gynaecology clinic. Hum Reprod. 27(12):3432-9, 2012
                                          9. Smeets AJ et al: Long-term follow-up of uterine artery embolization for symptomatic adenomyosis. Cardiovasc Intervent Radiol. 35(4):815-9, 2012
                                          10. 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
                                          11. Manyonda IT et al: Uterine Artery Embolization versus Myomectomy: Impact on Quality of Life-Results of the FUME (Fibroids of the Uterus: Myomectomy versus Embolization) Trial. Cardiovasc Intervent Radiol. Epub ahead of print, 2011
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Clinical Issues

                                                  • Diagnostic Checklist

                                                    TERMINOLOGY

                                                    • Synonyms

                                                      • Uterine endometriosis
                                                      • Endometriosis interna
                                                    • Definitions

                                                      • Heterotopic endometrial tissue within myometrium with adjacent smooth muscle hyperplasia

                                                    IMAGING

                                                    • General Features

                                                      • Ultrasonographic Findings

                                                        • MR Findings

                                                          • Fluoroscopic Findings

                                                            • Saline-Infused Hysterosonography

                                                              • 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. Van den Bosch T et al: Terms and definitions for describing myometrial pathology using ultrasonography. Ultrasound Obstet Gynecol. ePub, 2015
                                                                                  2. Boeer B et al: Differences in the clinical phenotype of adenomyosis and leiomyomas: a retrospective, questionnaire-based study. Arch Gynecol Obstet. 289(6):1235-9, 2014
                                                                                  3. Genc M et al: Adenomyosis and accompanying gynecological pathologies. Arch Gynecol Obstet. ePub, 2014
                                                                                  4. Pistofidis G et al: Distinct types of uterine adenomyosis based on laparoscopic and histopathologic criteria. Clin Exp Obstet Gynecol. 41(2):113-8, 2014
                                                                                  5. Riggs JC et al: Cesarean section as a risk factor for the development of adenomyosis uteri. J Reprod Med. 59(1-2):20-4, 2014
                                                                                  6. Levy G et al: An update on adenomyosis. Diagn Interv Imaging. 94(1):3-25, 2013
                                                                                  7. Taran FA et al: Adenomyosis: Epidemiology, Risk Factors, Clinical Phenotype and Surgical and Interventional Alternatives to Hysterectomy. Geburtshilfe Frauenheilkd. 73(9):924-931, 2013
                                                                                  8. Naftalin J et al: How common is adenomyosis? A prospective study of prevalence using transvaginal ultrasound in a gynaecology clinic. Hum Reprod. 27(12):3432-9, 2012
                                                                                  9. Smeets AJ et al: Long-term follow-up of uterine artery embolization for symptomatic adenomyosis. Cardiovasc Intervent Radiol. 35(4):815-9, 2012
                                                                                  10. 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
                                                                                  11. Manyonda IT et al: Uterine Artery Embolization versus Myomectomy: Impact on Quality of Life-Results of the FUME (Fibroids of the Uterus: Myomectomy versus Embolization) Trial. Cardiovasc Intervent Radiol. Epub ahead of print, 2011