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[Adenomyosis. Diagnostic technique and treatment]
1II Kliniki Ginekologii Instytutu Ginekologii i Połoznictwa Akademii Medycznej w Łodzi.
Study Objective:
A retrospective analysis of ultrasound diagnosis of adenomyosis.
Design:
Evaluation of 149 cases of hysterectomy excluding cases of ovarian and/or cervical carcinoma.
Material And Methods:
Pre-operative ultrasound results were analyzed in 149 cases of hysterectomy. Uterine morphometry and myometrial echogenicity were assessed.
Results:
Adenomyosis was diagnosed in 19 cases of hysterectomy. Preoperative ultrasound demonstrated a sensitivity of 88.8% and specificity of 94.6%. No correlations of adenomyosis with uterine leiomyomas or endometrial pathology were found.
Conclusion:
Adenomyosis was found in 12% of non-oncological cases of hysterectomy. Preoperative ultrasound established the diagnosis of adenomyosis.