Adenomyosis:A Clinico-pathological Study.

Area of Science:

• Gynecology
• Pathology
• Reproductive Medicine

Background:

• Adenomyosis is characterized by endometrial glands and stroma within the myometrium.
• Symptoms include abnormal bleeding, pain, infertility, and pelvic mass, often non-specific.
• Diagnosis relies on imaging and histology, with treatment options including medical and surgical interventions.

Purpose of the Study:

• To analyze diagnosed adenomyosis cases at Jos University Teaching Hospital.
• To investigate the relationship between adenomyosis, patient age, symptoms, and coexisting utero-cervical pathologies.
• To evaluate diagnostic methods for adenomyosis in the study population.

Main Methods:

• Retrospective analysis of 157 adenomyosis cases diagnosed between 2007 and 2013.
• Data collected from Medical Records, Radiology, and Histopathology departments.
• Histological confirmation of adenomyosis through review of archival slides or tissue blocks.

Main Results:

• Adenomyosis was diagnosed in 157 cases, with 68.2% having adenomyosis only and 31.8% coexisting with leiomyoma.
• The mean age of patients was 43.57 years, with the highest incidence in the 41-50 age group.
• Menorrhagia was the most frequent symptom, reported in 82.8% of all cases.

Conclusions:

• Adenomyosis is prevalent in the fourth decade of life.
• Leiomyoma is a common coexisting pathology, and menorrhagia is the predominant symptom.
• Retrospective histology post-hysterectomy is the established diagnostic method in this center.