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A Study of Prevalence and Risk Factors of Adenomyosis at Hysterectomy


Affiliations
1 Department of Pathology, Mysore Medical College and Research Institute, Mysore, India
2 S.S.Institute of Medical Sciences and Research Centre, Davangere, India
3 Department of Pathology, J.J.M Medical College, Davangere, Karnataka, India
     

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Background: Adenomyosis is a frequent entity, with difficult diagnosis, often obtained by pathological analysis performed after hysterectomy. This condition can cause abnormal uterine bleeding and dysmenorrhoea, frequent reasons for consultation and hysterectomy.

Aim: The present study sought to evaluate the clinical profile of adenomyosis.

Materials and Methods: The data in this study have been derived from 896 hysterectomies performed at J.J.M Medical College, Davangere, for a period of 2 years. Adenomyosis reported in 896 (49.04%) of 1827 uteri were included in the study irrespective of the preoperative diagnosis.

Results: Of the 1827 hysterectomy specimen received during the 2year period, adenomyosis was reported in 896 uteri (49.04%). Age of patients ranged from 20 - 75 years with a mean age of 39.8years. Peak incidence was seen in fourth decade. 892 patients were parous (99.55%). The parity ranged from one to ten. Menorrhagia was the commonest symptom.

Conclusion: Our findings do not support the notion that adenomyosis is more frequently related to particular clinical condition and suggest the association of parity with an increased frequency of adenomyosis.


Keywords

Adenomyosis, Parity, Symptoms
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  • Bird CC, Mcelin TW, and Manola EP. The elusive adenomyosis of the uterus- revisited. Am J Obstet Gynaecol 1972; 112: 583-89.
  • Molitor J. Adenomyosis: A clinical and pathologic appraisal. Am J Obstet Gynaecol 1971; 110: 275-84.
  • Azziz R. Adenomyosis: Current perspectives. Obstet Gynaecol Clinics of North America 1989; 16: 221-35.
  • Vercellini P, Parazzini, Oldani S, Panazza S, et al. Adenomyosis at hysterectomy; a study on frequency distribution and patient characteristics. Human reproduction: 1995; 10:1160-2.
  • Wéry O, Thille A, Gaspard U, van den Brûle F. Adenomyosis: update on a frequent but difficult diagnosis. Gynaecol obstet Biol Reprod 2005; 34:633-48.
  • Bergholt T, Eriksen L, Berendt N, Jacobsen M, Hertz JB. Prevalence and risk factors of adenomyosis at hysterectomy. Hum. Reprod 2001;16: 2418-21
  • McCausland, A.M. Hysteroscopic myometrial biopsy: Its use in diagnosing adenomyosis and its clinical application. Am. J. Obstet. & Gynaecol 1992; 166:1619-28.
  • Kilkku P, Erkolla R, & Gronroos M. Non specificity of symptoms related to adenomyosis: A prospective comparative survey. Acta Obstet. Gynaecol. Scand 1984; 63: 229-31.
  • Vercellini P, Ragni G, Trespidi L, Oldani S, Panazza ,S.et al: Adenomyosis: A Déjà vu? Obstet and Gynaecol Survey 1993; 48: 789-94.

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  • A Study of Prevalence and Risk Factors of Adenomyosis at Hysterectomy

Abstract Views: 343  |  PDF Views: 0

Authors

B H Ramesh
Department of Pathology, Mysore Medical College and Research Institute, Mysore, India
P Shashikala
S.S.Institute of Medical Sciences and Research Centre, Davangere, India
Doddikoppad
Department of Pathology, J.J.M Medical College, Davangere, Karnataka, India
H R Chandrasekhar
Department of Pathology, J.J.M Medical College, Davangere, Karnataka, India

Abstract


Background: Adenomyosis is a frequent entity, with difficult diagnosis, often obtained by pathological analysis performed after hysterectomy. This condition can cause abnormal uterine bleeding and dysmenorrhoea, frequent reasons for consultation and hysterectomy.

Aim: The present study sought to evaluate the clinical profile of adenomyosis.

Materials and Methods: The data in this study have been derived from 896 hysterectomies performed at J.J.M Medical College, Davangere, for a period of 2 years. Adenomyosis reported in 896 (49.04%) of 1827 uteri were included in the study irrespective of the preoperative diagnosis.

Results: Of the 1827 hysterectomy specimen received during the 2year period, adenomyosis was reported in 896 uteri (49.04%). Age of patients ranged from 20 - 75 years with a mean age of 39.8years. Peak incidence was seen in fourth decade. 892 patients were parous (99.55%). The parity ranged from one to ten. Menorrhagia was the commonest symptom.

Conclusion: Our findings do not support the notion that adenomyosis is more frequently related to particular clinical condition and suggest the association of parity with an increased frequency of adenomyosis.


Keywords


Adenomyosis, Parity, Symptoms

References