A retrospective study of the clinical features of 50 consecutive cases diagnosed to have adenomyosis by histopathology in hysterectomy specimens in a tertiary centre

Authors

  • Sreelakshmy K. Department of Obstetrics and Gynecology, Sree Mookambika Institute of Medical Sciences, Tamil Nadu, India
  • Rema V. Nair Department of Obstetrics and Gynecology, Sree Mookambika Institute of Medical Sciences, Tamil Nadu, India
  • Rajmohan V. Research Co-ordinator, MES Medical College, Perinthalmanna, Kerala, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20172527

Keywords:

Adenomyosis, Dysmenorrhea, Hysterectomy, Menorrhagia

Abstract

Background: Adenomyosis is characterised by the presence of ectopic endometrium, both glands and stroma deep in myometrium. Myometrial weakness caused by previous surgery or pregnancies, genetic factors, and tamoxifen use has been proposed as some aetiological factors.

Methods: Present study aims to study the clinical profile of patients who have histological evidence of adenomyosis in hysterectomy specimens. The records of consecutive patients who had undergone hysterectomy were analysed.

Results: The commonest age group affected is 41-50 years and menorrhagia is the predominant symptom.  The preoperative diagnosis of adenomyosis remains poor at around 8%.

Conclusions: The age of onset and clinical features of patients should serve as an index for suspecting adenomyosis.

Author Biographies

Sreelakshmy K., Department of Obstetrics and Gynecology, Sree Mookambika Institute of Medical Sciences, Tamil Nadu, India

Department of Obstetrics and Gynaecology, Sree Mookambika Institute of Medical Sciences,

Rajmohan V., Research Co-ordinator, MES Medical College, Perinthalmanna, Kerala, India

Associate Professor of Psychiatry

and Research Co-ordinator

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Published

2017-06-24

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Original Research Articles