Uterine adenomyosis - Revision history

Michael at 15:14, 6 June 2024

2024-06-06T15:14:50Z

← Older revision		Revision as of 15:14, 6 June 2024
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	Consensus is lacking on diagnostic criteria. Focal superficial endometrial glands are generally not deemed sufficient by most.<ref name=pmid27810281>{{cite journal \|authors=Abbott JA \|title=Adenomyosis and Abnormal Uterine Bleeding (AUB-A)-Pathogenesis, diagnosis, and management \|journal=Best Pract Res Clin Obstet Gynaecol \|volume=40 \|issue= \|pages=68–81 \|date=April 2017 \|pmid=27810281 \|doi=10.1016/j.bpobgyn.2016.09.006 \|url=}}</ref>		Consensus is lacking on diagnostic criteria. Focal superficial endometrial glands are generally not deemed sufficient by most.<ref name=pmid27810281>{{cite journal \|authors=Abbott JA \|title=Adenomyosis and Abnormal Uterine Bleeding (AUB-A)-Pathogenesis, diagnosis, and management \|journal=Best Pract Res Clin Obstet Gynaecol \|volume=40 \|issue= \|pages=68–81 \|date=April 2017 \|pmid=27810281 \|doi=10.1016/j.bpobgyn.2016.09.006 \|url=}}</ref>

	Selected criteria ~~are below:~~		====Selected criteria====
	{\| class="wikitable sortable"		{\| class="wikitable sortable"
	!Diagnostic criterium		!Diagnostic criterium

Michael at 15:14, 6 June 2024

2024-06-06T15:14:16Z

← Older revision		Revision as of 15:14, 6 June 2024
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	Consensus is lacking on diagnostic criteria. Focal superficial endometrial glands are generally not deemed sufficient by most.<ref name=pmid27810281>{{cite journal \|authors=Abbott JA \|title=Adenomyosis and Abnormal Uterine Bleeding (AUB-A)-Pathogenesis, diagnosis, and management \|journal=Best Pract Res Clin Obstet Gynaecol \|volume=40 \|issue= \|pages=68–81 \|date=April 2017 \|pmid=27810281 \|doi=10.1016/j.bpobgyn.2016.09.006 \|url=}}</ref>		Consensus is lacking on diagnostic criteria. Focal superficial endometrial glands are generally not deemed sufficient by most.<ref name=pmid27810281>{{cite journal \|authors=Abbott JA \|title=Adenomyosis and Abnormal Uterine Bleeding (AUB-A)-Pathogenesis, diagnosis, and management \|journal=Best Pract Res Clin Obstet Gynaecol \|volume=40 \|issue= \|pages=68–81 \|date=April 2017 \|pmid=27810281 \|doi=10.1016/j.bpobgyn.2016.09.006 \|url=}}</ref>

			Selected criteria are below:
			{\| class="wikitable sortable"
			!Diagnostic criterium
			!Category / Comment
			!Reference
			\|-
			\| endometrial-myometrial interface disrupted
			\| anatomical definition
			\| <ref>{{cite journal \|authors=Uduwela AS, Perera MA, Aiqing L, Fraser IS \|title=Endometrial-myometrial interface: relationship to adenomyosis and changes in pregnancy \|journal=Obstet Gynecol Surv \|volume=55 \|issue=6 \|pages=390–400 \|date=June 2000 \|pmid=10841317 \|doi=10.1097/00006254-200006000-00025 \|url=}}</ref>
			\|-
			\| >2.5 mm myometrial invasion
			\| measurement criterium
			\| <ref>Blaustein's pathology of the female genital tract, 1987, ISBN:0387964525.</ref>
			\|-
			\|}

			Abbott published a summary table of various criteria.<ref name=pmid27810281/>

	===Images===		===Images===

Michael at 14:55, 6 June 2024

2024-06-06T14:55:55Z

← Older revision		Revision as of 14:55, 6 June 2024
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	Note:		Note:
	*Can be thought of as [[endometriosis]] of the myometrium.		*Can be thought of as [[endometriosis]] of the myometrium.
			*A large number of extent criteria exist - see ''extent criteria''.<ref name=pmid27810281>{{cite journal \|authors=Abbott JA \|title=Adenomyosis and Abnormal Uterine Bleeding (AUB-A)-Pathogenesis, diagnosis, and management \|journal=Best Pract Res Clin Obstet Gynaecol \|volume=40 \|issue= \|pages=68–81 \|date=April 2017 \|pmid=27810281 \|doi=10.1016/j.bpobgyn.2016.09.006 \|url=}}</ref>

	DDx:		DDx:
	*[[Endometrioid endometrial carcinoma]].		*[[Endometrioid endometrial carcinoma]].

			===Extent criteria===
			Consensus is lacking on diagnostic criteria. Focal superficial endometrial glands are generally not deemed sufficient by most.<ref name=pmid27810281>{{cite journal \|authors=Abbott JA \|title=Adenomyosis and Abnormal Uterine Bleeding (AUB-A)-Pathogenesis, diagnosis, and management \|journal=Best Pract Res Clin Obstet Gynaecol \|volume=40 \|issue= \|pages=68–81 \|date=April 2017 \|pmid=27810281 \|doi=10.1016/j.bpobgyn.2016.09.006 \|url=}}</ref>


	===Images===		===Images===

Michael: /* Sign out */

2016-05-13T12:00:45Z

Sign out

← Older revision		Revision as of 12:00, 13 May 2016
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	==Sign out==		==Sign out==
			<pre>
			Uterus, Bilateral Fallopian Tubes, Hysterectomy and Bilateral Salpingectomy:
			- Uterine adenomyosis, extensive.
			- Uterine leiomyoma.
			- Proliferative endometrium.
			- Fallopian tubes within normal limits.
			- NEGATIVE for malignancy.
			</pre>

			===Block letters===
	<pre>		<pre>
	UTERUS, UTERINE CERVIX, TOTAL HYSTERECTOMY:		UTERUS, UTERINE CERVIX, TOTAL HYSTERECTOMY:

Michael: /* Images */

2014-04-07T20:41:01Z

Images

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	===Images===		===Images===
	<gallery>		<gallery>
	Image: Uterine adenomyosis -- low mag.jpg \| Adenomyosis - low mag.		Image: Uterine adenomyosis -- low mag.jpg \| Adenomyosis - low mag. (WC/Nephron)
	Image: Uterine adenomyosis -- intermed mag.jpg \| Adenomyosis - intermed. mag.		Image: Uterine adenomyosis -- intermed mag.jpg \| Adenomyosis - intermed. mag. (WC/Nephron)
	Image: Uterine adenomyosis -- high mag.jpg \| Adenomyosis - high mag.		Image: Uterine adenomyosis -- high mag.jpg \| Adenomyosis - high mag. (WC/Nephron)
	Image: Uterine adenomyosis - alt -- high mag.jpg \| Adenomyosis - high mag.		Image: Uterine adenomyosis - alt -- high mag.jpg \| Adenomyosis - high mag. (WC/Nephron)
	Image: Uterine adenomyosis -- very high mag.jpg \| Adenomyosis - very high mag.		Image: Uterine adenomyosis -- very high mag.jpg \| Adenomyosis - very high mag. (WC/Nephron)
			</gallery>
			<gallery>
			Image: Uterine adenomyosis (1).JPG \| Adenomyosis (WC/KGH)
	</gallery>		</gallery>

Michael at 03:23, 7 March 2014

2014-03-07T03:23:12Z

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	\| Grossing =		\| Grossing =
	\| Site = [[uterus]]		\| Site = [[uterus]]
	\| Assdx = [[endometriosis]]		\| Assdx = [[endometriosis]] (?)
	\| Syndromes =		\| Syndromes =
	\| Clinicalhx =		\| Clinicalhx =
	\| Signs =		\| Signs = [[menorrhagia]]
	\| Symptoms = cyclic pelvic pain		\| Symptoms = cyclic pelvic pain, dysmenorrhea
	\| Prevalence = common		\| Prevalence = common
	\| Bloodwork =		\| Bloodwork =

Michael: +infobox

2014-03-07T03:20:48Z

+infobox

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			{{ Infobox diagnosis
			\| Name = {{PAGENAME}}
			\| Image = Uterine adenomyosis -- intermed mag.jpg
			\| Width =
			\| Caption = Uterine adenomyosis. [[H&E stain]].
			\| Synonyms =
			\| Micro = at least 2 of 3: (1) endometrial glands, (2) endometrial stroma, (3) hemosiderin-laden macrophages
			\| Subtypes =
			\| LMDDx = [[endometrioid endometrial carcinoma]]
			\| Stains =
			\| IHC =
			\| EM =
			\| Molecular =
			\| IF =
			\| Gross = globoid shape, slightly enlarged, trabeculated cut surface +/- small foci of hemorrhage
			\| Grossing =
			\| Site = [[uterus]]
			\| Assdx = [[endometriosis]]
			\| Syndromes =
			\| Clinicalhx =
			\| Signs =
			\| Symptoms = cyclic pelvic pain
			\| Prevalence = common
			\| Bloodwork =
			\| Rads =
			\| Endoscopy =
			\| Prognosis = benign
			\| Other =
			\| ClinDDx =
			\| Tx =
			}}
	'''Uterine adenomyosis''', also '''[[adenomyosis]] of the uterus''', is a relatively common benign pathology of the uterine corpus. It can be thought of as [[endometriosis]] in the uterine smooth muscle.		'''Uterine adenomyosis''', also '''[[adenomyosis]] of the uterus''', is a relatively common benign pathology of the uterine corpus. It can be thought of as [[endometriosis]] in the uterine smooth muscle.

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	DDx:		DDx:
	*[[Endometrioid endometrial carcinoma]].		*[[Endometrioid endometrial carcinoma]].

			===Images===
			<gallery>
			Image: Uterine adenomyosis -- low mag.jpg \| Adenomyosis - low mag.
			Image: Uterine adenomyosis -- intermed mag.jpg \| Adenomyosis - intermed. mag.
			Image: Uterine adenomyosis -- high mag.jpg \| Adenomyosis - high mag.
			Image: Uterine adenomyosis - alt -- high mag.jpg \| Adenomyosis - high mag.
			Image: Uterine adenomyosis -- very high mag.jpg \| Adenomyosis - very high mag.
			</gallery>

	==Sign out==		==Sign out==

Michael: split out

2014-03-07T03:15:07Z

split out

← Older revision		Revision as of 03:15, 7 March 2014
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	~~#redirect~~ [[~~Uterus#Uterine_adenomyosis~~]]		'''Uterine adenomyosis''', also '''[[adenomyosis]] of the uterus''', is a relatively common benign pathology of the uterine corpus. It can be thought of as [[endometriosis]] in the uterine smooth muscle.

			'''Uterine adenomyoma''' redirects here.

			==General==
			*Common.
			*May be a cause of bleeding.<ref>{{Cite journal \| last1 = Reinhold \| first1 = C. \| last2 = Tafazoli \| first2 = F. \| last3 = Mehio \| first3 = A. \| last4 = Wang \| first4 = L. \| last5 = Atri \| first5 = M. \| last6 = Siegelman \| first6 = ES. \| last7 = Rohoman \| first7 = L. \| title = Uterine adenomyosis: endovaginal US and MR imaging features with histopathologic correlation. \| journal = Radiographics \| volume = 19 Spec No \| issue = \| pages = S147-60 \| month = Oct \| year = 1999 \| doi = \| PMID = 10517451 \| URL = http://radiographics.rsna.org/content/19/suppl_1/S147.full }}</ref>
			*Dysmenorrhea - painful menses.<ref name=pmid22594861>{{Cite journal \| last1 = Cockerham \| first1 = AZ. \| title = Adenomyosis: a challenge in clinical gynecology. \| journal = J Midwifery Womens Health \| volume = 57 \| issue = 3 \| pages = 212-20 \| month = \| year = \| doi = 10.1111/j.1542-2011.2011.00117.x \| PMID = 22594861 }}</ref>
			*Associated with [[endometriosis]].{{fact}}

			==Gross==
			Features:
			*Trabeculated cut surface +/- small foci of hemorrhage.<ref name=Ref_Lester3_432>{{Ref Lester3\|432}}</ref>
			**Often described as "basket-weave" pattern.
			*Globoid, slightly enlarged.<ref name=pmid20291238>{{Cite journal \| last1 = HUNTER \| first1 = WC. \| last2 = SMITH \| first2 = LL. \| last3 = REINER \| first3 = WC. \| title = Uterine adenomyosis; incidence, symptoms, and pathology in 1,856 hysterectomies. \| journal = Am J Obstet Gynecol \| volume = 53 \| issue = 4 \| pages = 663-8 \| month = Apr \| year = 1947 \| doi = \| PMID = 20291238 \| URL = http://journals.lww.com/obgynsurvey/Citation/1947/10000/The_Uterus__Uterine_Adenomyosis__Incidence,.61.aspx }}</ref>

			Note:
			*May form a mass - known as ''[[adenomyoma]]''.<ref name=pmid16990713>{{Cite journal \| last1 = Tahlan \| first1 = A. \| last2 = Nanda \| first2 = A. \| last3 = Mohan \| first3 = H. \| title = Uterine adenomyoma: a clinicopathologic review of 26 cases and a review of the literature. \| journal = Int J Gynecol Pathol \| volume = 25 \| issue = 4 \| pages = 361-5 \| month = Oct \| year = 2006 \| doi = 10.1097/01.pgp.0000209570.08716.b3 \| PMID = 16990713 }}
			</ref>

			Image:
			*[http://www.flickr.com/photos/34342634@N02/5036818444/ Uterine adenomyosis (flickr.com/infopathic)].
			*[http://www.flickr.com/photos/34342634@N02/5036818516/ Uterine adenomyosis - close-up (flickr.com/infopathic)].

			==Microscopic==
			Features:
			*Endometrial glands within uterine muscle - '''key feature'''.
			**Endometrial glands:
			***Circular.
			***Simple epithelial or pseudostratified epithelium +/- mitoses.
			**+/-Surrounded by endometrial stroma.
			***Densely packed spindle cells without [[nuclear atypia]].
			**Blood:
			***Within glands.
			***Hemosiderin-laden macrophages.

			Note:
			*Can be thought of as [[endometriosis]] of the myometrium.

			DDx:
			*[[Endometrioid endometrial carcinoma]].

			==Sign out==
			<pre>
			UTERUS, UTERINE CERVIX, TOTAL HYSTERECTOMY:
			- UTERUS WITH ADENOMYOSIS.
			- UTERINE CERVIX WITHIN NORMAL LIMITS.
			- PROLIFERATIVE PHASE ENDOMETRIUM.
			</pre>

			<pre>
			UTERUS, UTERINE CERVIX, TOTAL HYSTERECTOMY:
			- UTERUS WITH SUPERFICIAL ADENOMYOSIS.
			- UTERINE CERVIX WITH PARTIAL DENUDATION, FOCUS OF ENDOMETRIOSIS AND INFLAMMATION,
			OTHERWISE WITHIN NORMAL LIMITS.
			- SUPERFICIAL FIBROSIS AND HYALINE CHANGE OF THE UTERINE LINING -- COMPATIBLE
			WITH PRIOR ABLATION.
			</pre>

			==See also==
			*[[Uterus]].
			*[[Adenomyosis]].

			==References==
			{{Reflist\|2}}

			[[Category:Uterus]]
	[[Category:Diagnosis]]		[[Category:Diagnosis]]

Michael: redirect

2011-12-17T14:18:36Z

redirect

New page

#redirect [[Uterus#Uterine_adenomyosis]]

[[Category:Diagnosis]]