ULTRASONOGRAPHY FOR THE DIAGNOSIS OF ADENOMYOSIS

概要

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Synopsis An accurate preo;)eratxve diagnosis of uterine adenomyosis lS often dlmcult We reviewed our expenence with ultrasound evaluation of this pathological entity Patients with histologically proeri hdenomyosis were studied to determine the usefulness of ultrasoundfor the preoperatxve diagnosis ot'Vhls entltyrIn patients with adenomyosls, vkl$lQdult9sound patterns are seen, namely, enlargement of the uterus,1rregutai yesicular spaces wrthinAthe5myometr,ium, and an acoustically enhanced posterior wall of theute6i' H6wever, leiomyoma had 4simllaf 4hppatternBased 9n nve cape? of histologically exi?nsive adenomyoasls, an accurate diagnosis of adenomyosisoved fe4slble when ultrasonoaphy howed%all three ultrasonic patterns mentioned above, associatedi J 4with a retf6verted uterus or possible adh41ons between the uterus and structures in cl9se proximity, noduleor outgrowth in the ieklon of the utero9cfgl iigaments or in combination, as frequently found in conJunc.tionwlth externalre"dometrioslsid g V fThe ultr,asonographxcal demonstration of endometrial cyst of the ovary may contribute to an accurate diagnosis of adenomyosls
社団法人日本産科婦人科学会の論文
1986-11-01