A Hospital Based Study on Correlation between Transvaginal Sonography and Histopathological Pattern in the Diagnosis of Adenomyosis
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 8
Abstract
Background: Adenomyosis is a common benign disease of the uterus with an incidence of 5-70% in combined surgical and postmortem specimens. It may be diagnosed using transabdominal ultrasonography, transvaginal ultrasonography (TVS), or magnetic resonance imaging. Aim of the Study: The aim of the study was to study the different transvaginal sonographic criteria for diagnosing adenomyosis and to correlate the most useful criteria with histopathology results in the diagnosis of adenomyosis. Materials and Methods: A total of 65 patients undergoing hysterectomy for were subjected to pre-operative transvaginal sonography using certain criteria for the diagnosis. The criteria for the diagnosis were globular uterine configuration, poor definition of the endometrial-myometrial interface, sub-endometrial echogenic linear striations, myometrial anterior- posterior asymmetry, myometrial cysts, and a heterogeneous myometrial echotexture. The results were compared with the histopathology of the specimen obtained after surgery. Observations and Results: A total of 65 patients included in the present study who were undergoing hysterectomy were aged between 26 and 68 years with a mean age of 47.45 ± 2.50. The specimen was positive for adenomyosis in 35.65 (53.84%) hysterectomy specimen and negative for adenomyosis in 30.65 (46.15%). There was statistical significance with all the ultrasound criteria except poor definition of the endometrial-myometrial interface and myometrial cysts correlating with histopathology of adenomyosis (P at 0.806). Conclusions: TVS is a useful preliminary work tool in the diagnosis of adenomyosis. Globular uterine configuration, sub-endometrial echogenic linear striations, heterogeneous myometrial echotexture, and myometrial anterior-posterior asymmetry were significant criteria in the diagnosis of adenomyosis.
Authors and Affiliations
Pendekanti Padmaja
Keywords
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