Uterine adenomyosis: Difference between revisions
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*Can be thought of as [[endometriosis]] of the myometrium. | *Can be thought of as [[endometriosis]] of the myometrium. | ||
*A large number of extent criteria exist - see ''extent criteria''.<ref name=pmid27810281>{{cite journal |authors=Abbott JA |title=Adenomyosis and Abnormal Uterine Bleeding (AUB-A)-Pathogenesis, diagnosis, and management |journal=Best Pract Res Clin Obstet Gynaecol |volume=40 |issue= |pages=68–81 |date=April 2017 |pmid=27810281 |doi=10.1016/j.bpobgyn.2016.09.006 |url=}}</ref> | |||
DDx: | DDx: | ||
*[[Endometrioid endometrial carcinoma]]. | *[[Endometrioid endometrial carcinoma]]. | ||
===Extent criteria=== | |||
Consensus is lacking on diagnostic criteria. Focal superficial endometrial glands are generally not deemed sufficient by most.<ref name=pmid27810281>{{cite journal |authors=Abbott JA |title=Adenomyosis and Abnormal Uterine Bleeding (AUB-A)-Pathogenesis, diagnosis, and management |journal=Best Pract Res Clin Obstet Gynaecol |volume=40 |issue= |pages=68–81 |date=April 2017 |pmid=27810281 |doi=10.1016/j.bpobgyn.2016.09.006 |url=}}</ref> | |||
====Selected criteria==== | |||
{| class="wikitable sortable" | |||
!Diagnostic criterium | |||
!Category / Comment | |||
!Reference | |||
|- | |||
| endometrial-myometrial interface disrupted | |||
| anatomical definition | |||
| <ref>{{cite journal |authors=Uduwela AS, Perera MA, Aiqing L, Fraser IS |title=Endometrial-myometrial interface: relationship to adenomyosis and changes in pregnancy |journal=Obstet Gynecol Surv |volume=55 |issue=6 |pages=390–400 |date=June 2000 |pmid=10841317 |doi=10.1097/00006254-200006000-00025 |url=}}</ref> | |||
|- | |||
| >2.5 mm myometrial invasion | |||
| measurement criterium | |||
| <ref>Blaustein's pathology of the female genital tract, 1987, ISBN:0387964525.</ref> | |||
|- | |||
|} | |||
Abbott published a summary table of various criteria.<ref name=pmid27810281/> | |||
===Images=== | ===Images=== | ||
<gallery> | <gallery> | ||
Image: Uterine adenomyosis -- low mag.jpg | Adenomyosis - low mag. | Image: Uterine adenomyosis -- low mag.jpg | Adenomyosis - low mag. (WC/Nephron) | ||
Image: Uterine adenomyosis -- intermed mag.jpg | Adenomyosis - intermed. mag. | Image: Uterine adenomyosis -- intermed mag.jpg | Adenomyosis - intermed. mag. (WC/Nephron) | ||
Image: Uterine adenomyosis -- high mag.jpg | Adenomyosis - high mag. | Image: Uterine adenomyosis -- high mag.jpg | Adenomyosis - high mag. (WC/Nephron) | ||
Image: Uterine adenomyosis - alt -- high mag.jpg | Adenomyosis - high mag. | Image: Uterine adenomyosis - alt -- high mag.jpg | Adenomyosis - high mag. (WC/Nephron) | ||
Image: Uterine adenomyosis -- very high mag.jpg | Adenomyosis - very high mag. | Image: Uterine adenomyosis -- very high mag.jpg | Adenomyosis - very high mag. (WC/Nephron) | ||
</gallery> | |||
<gallery> | |||
Image: Uterine adenomyosis (1).JPG | Adenomyosis (WC/KGH) | |||
</gallery> | </gallery> | ||
==Sign out== | ==Sign out== | ||
<pre> | |||
Uterus, Bilateral Fallopian Tubes, Hysterectomy and Bilateral Salpingectomy: | |||
- Uterine adenomyosis, extensive. | |||
- Uterine leiomyoma. | |||
- Proliferative endometrium. | |||
- Fallopian tubes within normal limits. | |||
- NEGATIVE for malignancy. | |||
</pre> | |||
===Block letters=== | |||
<pre> | <pre> | ||
UTERUS, UTERINE CERVIX, TOTAL HYSTERECTOMY: | UTERUS, UTERINE CERVIX, TOTAL HYSTERECTOMY: | ||