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14 Cards in this Set
- Front
- Back
what is adenomyosis?
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condition where there is ingrowth of endometrium, both glandular and stromal components, directly INTO myometrium.
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whats the causes of adenomyosis?
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~repeated childbirth
~vigorous curettage ~excess of estrogen which produce cystic glandular hyperplasia of endometrium. ~trauma to uterine cavity : csection, tubal ligation. |
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which part of endometrium is most likely to be included in adenomyosis?
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both functional and basal layer.
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the growth of adenomyosis tissue depend on what substance?
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ovarian steroid.
hence if the adenomyosis consist of functional layer, the growth will be much more rapid. |
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describe gross appearance of uterus with adenomysis.
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diffuse symmetrical enlargement of uterus.
posterior is more thickened compared to anterior. size wont usually be more than a large orange size. (12-14 weeks pregnancy) |
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why is it possible symmetrical enlargement of uterine wall in adenomyosis?
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diffuse hyperplasia myometrium.
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in what case u can see adenomyomatous?
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if adenomyosis appear like polyp.
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describe cut section of an adenomyosis.
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trabeculated appearance. (like in fibromyoma).
blood spot may be visible. unlike fibromyoma, it has no capsule surrounding the growth. |
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main mechanism in adenomyosis formation.
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Adenomyosis occurs when the old tissue and blood cannot escape the uterine muscle and flow out of the cervix as part of normal menses.
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what is histologic finding in adenomyosis?
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glandular tissue of endometrium surrounded by stromal cell found in myometrium.
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who is most likely to get adenomyosis?
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patient aged 40 above.
parous. |
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whats the symptoms of adenomyosis?
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Menorrhagia. (70%)
dysmenorrhoea (30%). -progressively increased colicky pain during period due to myometrial contraction. Dyspareunia frequency of urination. |
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U/S or Color Doppler characteristics:
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- heterogenous echogenicity.
-hypoechoic myometrium with multiple small cysts in myometrium (bleeding) -increased vascularity of myometrium. |
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management.
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surgical. removal
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