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How to Evaluate Adenomyosis in Patients Affected by Endometriosis?

Objective. The aim of the study is to evaluate adenomyosis in patients undergoing surgery for different type of endometriosis. It is an observational study including women with preoperative ultrasound diagnosis of adenomyosis. Demographic data and symptoms were recorded (age, body mass index, parity...

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Detalles Bibliográficos
Autores principales: Di Donato, Nadine, Seracchioli, Renato
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4146361/
https://www.ncbi.nlm.nih.gov/pubmed/25197569
http://dx.doi.org/10.1155/2014/507230
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author Di Donato, Nadine
Seracchioli, Renato
author_facet Di Donato, Nadine
Seracchioli, Renato
author_sort Di Donato, Nadine
collection PubMed
description Objective. The aim of the study is to evaluate adenomyosis in patients undergoing surgery for different type of endometriosis. It is an observational study including women with preoperative ultrasound diagnosis of adenomyosis. Demographic data and symptoms were recorded (age, body mass index, parity, history of previous surgery, dysmenorrhea, dyspareunia, dyschezia, dysuria, and abnormal uterine bleeding). Moreover a particular endometrial shape “question mark sign” linked to the presence of adenomyosis was assessed. Results. From 217 patients with ultrasound diagnosis of adenomyosis, we found 73 with ovarian histological confirmation of endometriosis, 92 with deep infiltrating endometriosis, and 52 patients who underwent surgery for infertility. Women with adenomyosis alone represented the oldest group of patients (37.8 ± 5.18 years, P = 0.02). Deep endometriosis patients were nulliparous more frequently (P < 0.0001), had history of previous surgery (P = 0.004), and complained of more intense pain symptoms than other groups. Adenomyosis alone was significantly associated with abnormal uterine bleeding (P < 0.0001). The question mark sign was found to be strongly related to posterior deep infiltrating endometriosis (P = 0.01). Conclusion. Our study confirmed the strong relationship between adenomyosis and endometriosis and evaluated demographic aspects and symptoms in patients affected by different type of endometriosis.
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spelling pubmed-41463612014-09-07 How to Evaluate Adenomyosis in Patients Affected by Endometriosis? Di Donato, Nadine Seracchioli, Renato Minim Invasive Surg Research Article Objective. The aim of the study is to evaluate adenomyosis in patients undergoing surgery for different type of endometriosis. It is an observational study including women with preoperative ultrasound diagnosis of adenomyosis. Demographic data and symptoms were recorded (age, body mass index, parity, history of previous surgery, dysmenorrhea, dyspareunia, dyschezia, dysuria, and abnormal uterine bleeding). Moreover a particular endometrial shape “question mark sign” linked to the presence of adenomyosis was assessed. Results. From 217 patients with ultrasound diagnosis of adenomyosis, we found 73 with ovarian histological confirmation of endometriosis, 92 with deep infiltrating endometriosis, and 52 patients who underwent surgery for infertility. Women with adenomyosis alone represented the oldest group of patients (37.8 ± 5.18 years, P = 0.02). Deep endometriosis patients were nulliparous more frequently (P < 0.0001), had history of previous surgery (P = 0.004), and complained of more intense pain symptoms than other groups. Adenomyosis alone was significantly associated with abnormal uterine bleeding (P < 0.0001). The question mark sign was found to be strongly related to posterior deep infiltrating endometriosis (P = 0.01). Conclusion. Our study confirmed the strong relationship between adenomyosis and endometriosis and evaluated demographic aspects and symptoms in patients affected by different type of endometriosis. Hindawi Publishing Corporation 2014 2014-08-12 /pmc/articles/PMC4146361/ /pubmed/25197569 http://dx.doi.org/10.1155/2014/507230 Text en Copyright © 2014 N. Di Donato and R. Seracchioli. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Di Donato, Nadine
Seracchioli, Renato
How to Evaluate Adenomyosis in Patients Affected by Endometriosis?
title How to Evaluate Adenomyosis in Patients Affected by Endometriosis?
title_full How to Evaluate Adenomyosis in Patients Affected by Endometriosis?
title_fullStr How to Evaluate Adenomyosis in Patients Affected by Endometriosis?
title_full_unstemmed How to Evaluate Adenomyosis in Patients Affected by Endometriosis?
title_short How to Evaluate Adenomyosis in Patients Affected by Endometriosis?
title_sort how to evaluate adenomyosis in patients affected by endometriosis?
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4146361/
https://www.ncbi.nlm.nih.gov/pubmed/25197569
http://dx.doi.org/10.1155/2014/507230
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