Ultrasonography compared with magnetic resonance imaging for the diagnosis of adenomyosis: correlation with histopathology

Bazot, Marc; Cortez, Annie; Daraı̈, Émile; Rouger, Jérome; Chopier, J.; Antoine, Jean-Marie; Uzan, Serge

doi:10.1093/humrep/16.11.2427

Cited by 440 publications

(367 citation statements)

References 26 publications

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“…In our experience, normal uterosacral ligaments were invisible using TVS. In our series, the mean thickness of uterosacral ligaments with surgically proven involvement, measured in the proximal part, was less than 8.6 (range, [5][6][7][8][9][10][11][12][13][14] mm. Few data are available on the accuracy of endoscopic TRS for the diagnosis of uterosacral involvement.…”

Section: Discussionmentioning

confidence: 50%

“…In addition to deep pelvic endometriosis, we recorded unilateral or bilateral ovarian involvement, defined as the presence of cysts with diffuse low-level internal echoes, multilocularity or hyperechogenic wall foci 10,11 . The position of the uterus (anteflexed or retroflexed) and the presence of associated uterine adenomyosis, according to previously described criteria 12,13 , were recorded.…”

Section: Analysis Of Pelvic Endometriosismentioning

confidence: 99%

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Diagnostic accuracy of transvaginal sonography for deep pelvic endometriosis

Bazot

Thomassin

Hourani

et al. 2004

Ultrasound in Obstet & Gyne

295

275

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Section: Discussionmentioning

confidence: 50%

Section: Analysis Of Pelvic Endometriosismentioning

confidence: 99%

Diagnostic accuracy of transvaginal sonography for deep pelvic endometriosis

Bazot

Thomassin

Hourani

et al. 2004

Ultrasound in Obstet & Gyne

295

275

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“…MRI showed a similar accuracy to the transvaginal ultrasound in the diagnosis of adenomyosis with reported sensitivity and specificity of 77.5 and 92.5 %, respectively. The diagnostic criteria include maximum junctional zone thickness greater than 12 mm, maximum junctional zone thickness and myometrial ratio greater than 40 %, and high-signal intensity myometrial spots [23].…”

Section: Discussionmentioning

confidence: 99%

Endosonography of benign myometrium cysts and cyst-like lesions

Youssef

2014

J Ultrasound

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Introduction Many pathological causes are responsible for the sonographic presentation of myometrium cysts and cyst-like lesions, where the distinction between these etiologies is required. The aim of the work The current work is aimed at discerning between different etiologies of myometrium cysts and cyst-like lesions for an optimum management. Methodology In the course of daily practice of gynecological transvaginal ultrasound, 66 cases of myometrium cysts and cyst-like lesions have been discerned, where all were examined with endovaginal ultrasound using a multifrequency endocavitary probe having color Doppler capability. Results Adenomyosis uteri detected in 15 cases, invasive mole in 4 cases, congested arcuate veins in 20 cases, incidental cysts in 4 cases, cystic degeneration of myoma in 3 cases, C-section scar cysts and cyst-like lesions in 13 cases, interstitial ectopic pregnancy in 2 cases, incomplete abortion with congested myometrium vessels in 4 cases, and arteriovenous malformation in 1 case. The number of cases with cervical nabothian cysts was not considered since they were too frequent. Conclusion Endosonography is an important tool in differentiating between the various diseases that are responsible for benign myometrium cysts and cyst-like lesions, which are all important since some of them are visualized as serious clinical situations and others turn out to be of little clinical significance.Keywords Endosonography Á Myometrium Á Cysts Á Adenomyosis Riassunto Introduzione Molte patologie sono responsabili della presentazione ecografica di cisti del miometrio e di lesioni simil-cistiche ed è necessaria la distinzione tra le varie eziologie. Scopo del lavoro Scopo del lavoro è distinguere tra le diverse eziologie delle cisti del miometrio e delle lesioni simil-cistiche per una loro gestione ottimale. Materiali e metodi Durante la pratica quotidiana di ecografia transvaginale ginecologica sono stati riscontrati 66 casi di cisti del miometrio e di lesioni simil-cistiche, tutti sono stati esaminati con ecografia endovaginale con sonda endocavitaria multifrequenza e modulo Doppler. Risultati In 15 casi è stata rilevata adenomiosi dell'utero, in 4 casi mola invasiva, in 20 casi congestione venosa, in 4 casi riscontro incidentale di cisti, in 3 casi degenerazione cistica dei miomi, in 13 casi cicatrice cistica (CS) e lesioni simil-cistiche, in 2 casi gravidanza ectopica, in 4 casi aborto incompleto con vasi del miometrio congestionati e in 1 caso malformazioni artero-venose. I casi di cisti Naboth non sono stati considerati in quanto di troppo frequente riscontro. Conclusioni L'ecoendoscopia è uno strumento importante nella differenziazione delle varie malattie che sono responsabili della formazione di cisti benigne del miometrio come di lesioni simil-cistiche, alcune gravi, altre di scarsa rilevanza clinica.

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“…The histological frequency of adenomyosis varies from 5-70%. 8 The primary malignant lesions like leiomyosarcoma are though not so common but may present like benign leiomyoma clinically. So microscopic evaluation is very essential to make a proper diagnosis and care should be taken on differentiating it from atypical leiomyoma.…”

Section: Introductionmentioning

confidence: 99%

Histopathological Evaluation of Myometrial Lesions of Corpus Uterus-A Tertiary Care Hospital Based Study

Baishya¹

2017

JMSCR

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The aim of the study was to evaluate the distribution of various types of myometrial lesion (both neoplastic and non-neoplastic) in the hysterectomy and myomectomy specimens received in our institution. The pattern of occurrence of different myometrial lesions in relation to age, parity and mode of presentation andhistopathological features of the myometrial lesions were also noted to find out any significance on this study.

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Ultrasonography compared with magnetic resonance imaging for the diagnosis of adenomyosis: correlation with histopathology

Abstract: TVUS is as efficient as MRI for the diagnosis of adenomyosis in women without myoma, while MRI could be recommended for women with associated leiomyoma.

Cited by 440 publications

References 26 publications

Diagnostic accuracy of transvaginal sonography for deep pelvic endometriosis

Diagnostic accuracy of transvaginal sonography for deep pelvic endometriosis

Endosonography of benign myometrium cysts and cyst-like lesions

Histopathological Evaluation of Myometrial Lesions of Corpus Uterus-A Tertiary Care Hospital Based Study

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