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| Diffuse Uterine Adenomyosis : Transva ginal US with Histopathologic Correlation |
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| Mi Jin Song, M.D. Hye Sun Kim, M.D.*, Myung Sook Lee, M.D.,H yeun Cha Cho, M.D., Young-Ho Lee, M.D. |
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| Department of Radiology, Pathology, Samsung Cheil Hospital, Sungkyunkwan University School of Medicine |
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| PURPOSE : To correlate transvaginal sonographic findings with histopathology in diffuse uterine adenomyosis.
MATERIALS and METHODS : We prospectively analized the transvaginal sonographic findings of 15 patients underg o-ing
hysterectomy for adenomyosis. Diffuse adenomyosis was diagnosed when an abnormal echotexture(het-erogenous
echogenicity, decreased echogenicity, increased echogenicity, cystic lesion) was present in my-ometrium
of enlarged uterus. We evaluate the size of the uterus, abnormal echotexture in myometrium and ante-rior
and posterior myometrial wall thickness.
RESULTS : Transvaginal sonographic findings of diffuse adenomyosis are enlarged uterus(n = 15), heterogenous and
increased echogenicity in myometrium(n = 10), heterogenous echogenicity in myometrium(n = 4), heteroge-nous
and increased echogenicity with cystic lesion in myometrium (n = 1), The posterior myometrial wall is e-qual
to anterior wall(n = 7), thicker than anterior wall(n = 4), thinner than anterior wall(n = 4). The histopatho-logic
findings including ectopic endometrial gland(n = 14), muscular hypertrophy(n = 15), myoma(n = 4).
Diffuse adenomyosis was confirmed except one case that proved myoma.
CONCLUSION : Transvaginal sonographic findings of enlarged uterus with heterogenous and increased echotexture in
myometrium of adenomyosis is correlated with ectopic endometrial gland with secondary muscular hypertro-p
h y. |
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| Keyword : Uterus, abnormalities, Uterus, US |
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pdf파일 : 099송미진 칼라41.pdf 
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> Journal > Journal Search 
Journal of Korean Society of Ultrasound in Medicine 1999 ; 18 (2) : p.99-103
