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[Uterine adenomyosis (author's transl)]
La Nouvelle Presse Medicale
|November 19, 1977
Summary
Uterine adenomyosis is a common finding in hysterectomy specimens, affecting one in three uteri. It is the primary cause of symptoms in only a small fraction of cases, despite its frequent association with other uterine conditions.
Area of Science:
- Gynecologic Pathology
- Reproductive Medicine
Context:
- Uterine adenomyosis is a prevalent histological finding.
- A study analyzed 926 hysterectomy specimens to evaluate the incidence and significance of adenomyosis.
Purpose:
- To determine the frequency of adenomyosis in hysterectomy specimens.
- To assess the role of adenomyosis as the sole cause of symptoms necessitating hysterectomy.
- To examine the association of adenomyosis with uterine fibroids and endometriosis.
Summary:
- Adenomyosis was identified in 246 out of 926 hysterectomy specimens (approximately 26.6%).
- In only 65 cases (about 7% of total hysterectomies), adenomyosis was the sole indication for surgery due to refractory bleeding or pain.
- Associated endometriosis was found in nearly 50% of hysterectomies for fibroids.
- Hysterography suggested adenomyosis in two-thirds of cases, but direct visualization occurred in only 25%.
Impact:
- Highlights that adenomyosis, while common, is often an incidental finding.
- Underscores the importance of considering adenomyosis in treatment failures for conditions like fibroids, especially around menopause.
- Suggests a discrepancy between diagnostic suspicion and definitive visualization of adenomyosis.