A clinico- pathological study of adenomyosis
Bupathy Arunachalam , Jayasree Manivasakan ,
Dr. JAYASREE. Manivasakan,
Associate Professor, Department of Obstetrics and Gynaecology, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India. Pin-605107
Phone no: 9443769196
Adenomyosis is a myometrial lesion which is characterized by the presence of ectopic endometrium with or without hyperplasia of the surrounding myometrium. A majority of the cases are diagnosed following the histological examination of hysterectomy specimens, but the exact prevalence in the ‘normal’ population is unknown. More number of cases are being diagnosed, of late. It is being reported even in postmenopausal women. Objective: To correlate adenomyosis which was diagnosed in hysterectomy specimens with the clinical diagnosis and the patient profile.
This was a descriptive study which was carried out from January 2007 to December 2010. The case records of all the patients whose hysterectomy specimens showed adenomyosis were studied and analyzed with regards to the clinical profile.
Two hundred and fifty patients were studied. The prevalence of adenomyosis was 23.5%. Eighty percent of the patients were seen in the age group of 31-50 years. Ninety four point four percent of the patients were multiparous. The dominant symptom was menorrhagia (70.4%), followed by dysmenorrhoea (35.6%). Adenomyosis was clinically suspected in 21.2% of the cases.
The occurrence of adenomyosis was seen in an age group with a wide range of 31-50 years in the present study, which was contrary to that which was observed in some studies, which showed the maximum occurrence after 40 years. The parity and the clinical symptoms correlated with those of other studies.
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