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Improved Sonographic Accuracy in the Presurgical Diagnosis of Diffuse Adenomyosis: Case Study and Review

Sonography Services

Marveen Craig

Sonography Services

Pamela Branning

Western Carolina Woman Care

Adenomyosis is a fairly common benign gynecologicalcondition resulting from an exaggeratedgrowth of the endometrium at the endometrialmyometrialinterface. Progressive penetration ofendometrial glands and stroma into the myometriumcan produce the smooth muscle hyperplasiathat ultimately leads to uterine enlargement.The disease most commonly affects women 40 to50years of age and is associated with a past history ofchildbirth. Adenomyosis is an important cause ofdysmenorrhea and menorrhagia. Because of itsnonspecific nature, until recently, the diagnosis wasmade only after hysterectomy. Transvaginal sonography,with its concomitant higher resolution,shows renewed promise for the presurgical diagnosisof this disease.

Key Words: adenomyosis • adenomyoma • endometrium • myometrium • leiomyoma • hyperplasia • menorrhagia • metrorrhagia • dysmenorrhea • dyspareunia

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