Clinical characteristics indicating adenomyosis at the time of hysterectomy: a retrospective study in 291 patients

Abstract

Women undergoing hysterectomy with adenomyosis alone have different clinical characteristics from women with adenomyosis and leiomyomas and from those with only leiomyomas.

Risk factors for adenomyosis, leiomyoma and concurrent adenomyosis and leiomyoma

“…Taran et al . reported that women with concomitant adenomyosis and leiomyoma had decreased BMI, smaller leiomyoma and decreased uterine size compared to patients with leiomyoma . Similarly in the present study, smaller leiomyoma was present in the concomitant adenomyosis and leiomyoma group but no difference was found in BMI between the groups.…”

“…In order to review clinical characteristics indicating adenomyosis at the time of hysterectomy, Taran et al . compared women undergoing hysterectomy with a pathologic finding of only adenomyosis with women with adenomyosis and leiomyomas and to women with leiomyomas alone in a retrospective study, and they reported that preoperative hematocrit did not differ between groups . In the current study, however, decreasing hemoglobin was found to be associated with a diagnosis of concomitant adenomyosis and leiomyoma.…”

“…Taran et al . also reported no association between adenomyosis and previous uterine surgery Also no difference among the groups was found in number of induced abortions. Women with adenomyosis had a higher prevalence of history of D&C. Increased parity is associated with decreased risk of leiomyoma .…”

Clinical profiles of 710 premenopausal women with adenomyosis who underwent hysterectomy

“…The prevalence of adenomyosis in our large cohort of 1697 patients who underwent hysterectomy was 43.3%, which is within the range of reported prevalence but appears to be slightly higher than some recently reported studies . Difference in race and ethnicity aside, many other factors could be attributed to the difference, such as the difference in the proportion of referral patients, and inclusion criteria for hysterectomy.…”

Transvaginal Ultrasound Shear Wave Elastography for the Evaluation of Benign Uterine Pathologies: A Prospective Pilot Study

“…The primary symptoms of adenomyosis are chronic pelvic pain and abnormal uterine bleeding, but there is also an association with subfertility . Adenomyosis is underdiagnosed: In one recent study, fewer than one quarter of patients had a correct preoperative diagnosis, with a frequent misdiagnosis as leiomyoma by ultrasound . The prospective diagnosis of adenomyosis is clinically significant because it may alter treatment decisions.…”