Modern approaches to classification of adenomyosis
- Authors: Yarmolinskaya M.I.1,2, Shalina M.A.1, Nagorneva S.V.1,3
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Affiliations:
- The Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott
- North-Western State Medical University named after I.I. Mechnikov
- Sestroretskaya Multiprofile Clinic Ltd.
- Issue: Vol 72, No 1 (2023)
- Pages: 97-108
- Section: Reviews
- Submitted: 09.01.2023
- Accepted: 11.01.2023
- Published: 29.03.2023
- URL: https://journals.eco-vector.com/jowd/article/view/121307
- DOI: https://doi.org/10.17816/JOWD121307
- ID: 121307
Cite item
Abstract
This article presents a modern review of the main classifications of adenomyosis based on the clinical course, the prevalence of the pathological process, the results of ultrasound and magnetic resonance imaging, and histological verification. The analysis is based on domestic and foreign literature, federal clinical recommendations, and results of our own research. Despite the large number of different classifications of the disease, there are still shortcomings noted in this review. Based on the available rubricators, we emphasized the need to create a classification of adenomyosis with an assessment of the clinical picture, genetic and molecular profiles, the results of non-invasive assessment methods, and a correlation with the histological conclusion. A unified classification would solve many problems in scientific and practical activities for accurate and early diagnosis of adenomyosis, identification of risk groups for patients with an aggressive course of the pathological process, selection of reasonable recommendations, and timely appointment of pathogenetic therapy.
Keywords
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About the authors
Maria I. Yarmolinskaya
The Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott; North-Western State Medical University named after I.I. Mechnikov
Email: m.yarmolinskaya@gmail.com
ORCID iD: 0000-0002-6551-4147
SPIN-code: 3686-3605
Scopus Author ID: 7801562649
ResearcherId: P-2183-2014
MD, Dr. Sci. (Med.), Professor, Professor of the Russian Academy of Sciences
Russian Federation, Saint Petersburg; Saint PetersburgMaria A. Shalina
The Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott
Author for correspondence.
Email: amarus@inbox.ru
ORCID iD: 0000-0002-5921-3217
Scopus Author ID: 57200072308
ResearcherId: A-7180-2019
MD, Cand. Sci. (Med.)
Russian Federation, Saint PetersburgStanislava V. Nagorneva
The Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott; Sestroretskaya Multiprofile Clinic Ltd.
Email: stanislava_n@bk.ru
ORCID iD: 0000-0003-0402-5304
SPIN-code: 5109-7613
ResearcherId: К-3723-2018
MD, Cand. Sci. (Med.)
Russian Federation, Saint Petersburg; Saint PetersburgReferences
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