The correlation of histological and ultrasonic signs of adenomyosis

Abstract

Introduction. Ultrasonography (USI) is a routine investigation technique in gynecology. USI - is the only method, which allows to suspect adenomyosis without invasive study.

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Introduction. Ultrasonography (USI) is a routine investigation technique in gynecology. USI - is the only method, which allows to suspect adenomyosis without invasive study. The determining of US features correlation with endomiometrial alteration helps to define specificity and reliability of different US signs.

Material and methods. USI and histological examination findings of 24 patients with urgent nongravid metrorrhage were observed.

Results. Small cystical inclusions in myometrium can’t be explained by heterotopy presence, but connected with fibroid changes of myometrium, and besides the effectiveness of sign reduces while the vascular component rises, because of the diminution of specific volume of fibroid, and inability to recognize separate inclusions in case of diffuse abnormal echostructure of myometrium. Diffuse echostructure discovered at USI is related to muscular tissue edema, most evident at paraheterotopic areas of myometrium. Most effective USI sign in adenomyosis diagnosis was - M-echo visualization at third day after uterine curettage, which reflects basal layer of endometrium and adjacent myometrium hyperplasia.