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Adenomyosis
Maram Aljuaid, 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
              • "Cirrhosis of uterus"
            • Definitions

              • Abnormal endometrial tissue implant within myometrium (adeno-), which triggers local angiogenesis and smooth muscle hyperplasia (-myosis)

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • MR Findings

                  • Fluoroscopic Findings

                    • Saline-Infused Hysterosonography 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. Dessouky R et al: Management of uterine adenomyosis: current trends and uterine artery embolization as a potential alternative to hysterectomy. Insights Imaging. 10(1):48, 2019
                                          2. Cunningham RK et al: Adenomyosis: a sonographic diagnosis. Radiographics. 38(5):1576-89, 2018
                                          3. Agostinho L et al: MRI for adenomyosis: a pictorial review. Insights Imaging. 8(6):549-56, 2017
                                          4. de Bruijn AM et al: Uterine artery embolization for symptomatic adenomyosis: 7-year clinical follow-up using UFS-Qol Questionnaire. Cardiovasc Intervent Radiol. 40(9):1344-350, 2017
                                          5. Taran FA et al: Adenomyosis: Epidemiology, risk factors, clinical phenotype and surgical and interventional alternatives to hysterectomy. Geburtshilfe Frauenheilkd. 73(9):924-31, 2013
                                          6. Li YC et al: Usage of 64-detector-row spiral computed tomography volumetry in preoperative volume prediction in living donor liver transplantation in children. Pediatr Surg Int. 27(5):445-9, 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
                                                      • "Cirrhosis of uterus"
                                                    • Definitions

                                                      • Abnormal endometrial tissue implant within myometrium (adeno-), which triggers local angiogenesis and smooth muscle hyperplasia (-myosis)

                                                    IMAGING

                                                    • General Features

                                                      • Ultrasonographic Findings

                                                        • MR Findings

                                                          • Fluoroscopic Findings

                                                            • Saline-Infused Hysterosonography 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. Dessouky R et al: Management of uterine adenomyosis: current trends and uterine artery embolization as a potential alternative to hysterectomy. Insights Imaging. 10(1):48, 2019
                                                                                  2. Cunningham RK et al: Adenomyosis: a sonographic diagnosis. Radiographics. 38(5):1576-89, 2018
                                                                                  3. Agostinho L et al: MRI for adenomyosis: a pictorial review. Insights Imaging. 8(6):549-56, 2017
                                                                                  4. de Bruijn AM et al: Uterine artery embolization for symptomatic adenomyosis: 7-year clinical follow-up using UFS-Qol Questionnaire. Cardiovasc Intervent Radiol. 40(9):1344-350, 2017
                                                                                  5. Taran FA et al: Adenomyosis: Epidemiology, risk factors, clinical phenotype and surgical and interventional alternatives to hysterectomy. Geburtshilfe Frauenheilkd. 73(9):924-31, 2013
                                                                                  6. Li YC et al: Usage of 64-detector-row spiral computed tomography volumetry in preoperative volume prediction in living donor liver transplantation in children. Pediatr Surg Int. 27(5):445-9, 2011