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14 Cards in this Set

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  • Back
what is adenomyosis?
condition where there is ingrowth of endometrium, both glandular and stromal components, directly INTO myometrium.
whats the causes of adenomyosis?
~repeated childbirth
~vigorous curettage
~excess of estrogen which produce cystic glandular hyperplasia of endometrium.
~trauma to uterine cavity : csection, tubal ligation.
which part of endometrium is most likely to be included in adenomyosis?
both functional and basal layer.
the growth of adenomyosis tissue depend on what substance?
ovarian steroid.

hence if the adenomyosis consist of functional layer, the growth will be much more rapid.
describe gross appearance of uterus with adenomysis.
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)
why is it possible symmetrical enlargement of uterine wall in adenomyosis?
diffuse hyperplasia myometrium.
in what case u can see adenomyomatous?
if adenomyosis appear like polyp.
describe cut section of an adenomyosis.
trabeculated appearance. (like in fibromyoma).

blood spot may be visible.

unlike fibromyoma, it has no capsule surrounding the growth.
main mechanism in adenomyosis formation.
Adenomyosis occurs when the old tissue and blood cannot escape the uterine muscle and flow out of the cervix as part of normal menses.
what is histologic finding in adenomyosis?
glandular tissue of endometrium surrounded by stromal cell found in myometrium.
who is most likely to get adenomyosis?
patient aged 40 above.

parous.
whats the symptoms of adenomyosis?
Menorrhagia. (70%)

dysmenorrhoea (30%).
-progressively increased colicky pain during period due to myometrial contraction.

Dyspareunia

frequency of urination.
U/S or Color Doppler characteristics:
- heterogenous echogenicity.
-hypoechoic myometrium with multiple small cysts in myometrium (bleeding)
-increased vascularity of myometrium.
management.
surgical. removal