Jump to content

Adenomyosis

From Wikipedia
adenomyosis
class of disease
Subclass ofendometriosis, uterine disease, disease Edit
Facet givewomen's health Edit
Health specialtygynaecology Edit
Anatomical locationmyometrium Edit
ICD-9-CM617.0 Edit
NCI Thesaurus IDC6996 Edit

Adenomyosis be a medical condition wey be characterized by de growth of cells wey proliferate on de insyd of de uterus (endometrium) atypically locate among de cells of de uterine wall (myometrium),[1] as a result, thickening of de uterus occur. As well as e be misplaced insyd patients plus dis condition, endometrial tissue be completely functional. De tissue dey thicken, shed den dey bleed during every menstrual cycle.[1]

Dem typically find de condition insyd women between de ages of 35 den 50, buh e sanso dey affect younger women.[2] Patients plus adenomyosis often dey present plus painful menses (dysmenorrhea), profuse menses (menorrhagia), anaa both. Oda possible symptoms be pain during sexual intercourse, chronic pelvic pain den irritation of de urinary bladder.

Insyd adenomyosis, basal endometrium dey penetrate into hyperplastic myometrial fibers. Unlike de functional layer, de basal layer no dey undergo typical cyclic changes plus de menstrual cycle.[3][4] Adenomyosis fi involve de uterus focally, wey dey create an adenomyoma. Plus diffuse involvement, de uterus cam be bulky den heavier.[5]

Dem fi find adenomyosis togeda plus endometriosis; e dey differ insyd dat patients plus endometriosis dey present endometrial-like tissue wey locate entirely outsyd de uterus. Insyd endometriosis, de tissue be similar to, buh no be de same as, de endometrium. Dem dey find de two conditions togeda insyd chaw cases yet often dey occur separately.[3][6] Before e be recognized as a distinct condition, na dem call adenomyosis endometriosis interna. De less-commonly-used term adenomyometritis be a more specific name give de condition, wey dey specify involvement of de uterus.[7]

References

[edit | edit source]
  1. 1 2 R, Gunther; C, Walker (2020). "Adenomyosis". StatPearls [Internet] (in English). PMID 30969690.
  2. Brosens I, Gordts S, Habiba M, Benagiano G (December 2015). "Uterine Cystic Adenomyosis: A Disease of Younger Women". J Pediatr Adolesc Gynecol. 28 (6): 420–6. doi:10.1016/j.jpag.2014.05.008. PMID 26049940.
  3. 1 2 Katz VL (2007). Comprehensive gynecology (5th ed.). Philadelphia PA: Mosby Elsevier.
  4. Leyendecker, G.; Herbertz, M.; Kunz, G.; Mall, G. (2002). "Endometriosis results from the dislocation of basal endometrium". Hum. Reprod. 17 (10): 2725–2736. doi:10.1093/humrep/17.10.2725. PMID 12351554.
  5. Struble, Jennifer; Reid, Shannon; Bedaiwy, Mohamed A. (2016). "Adenomyosis: A Clinical Review of a Challenging Gynecologic Condition". Journal of Minimally Invasive Gynecology. 23 (2): 164–185. doi:10.1016/j.jmig.2015.09.018. PMID 26427702.
  6. Lazzeri L, Di Giovanni A, Exacoustos C, Tosti C, Pinzauti S, Malzoni M, Petraglia F, Zupi E (August 2014). "Preoperative and Postoperative Clinical and Transvaginal Ultrasound Findings of Adenomyosis in Patients With Deep Infiltrating Endometriosis". Reprod Sci. 21 (8): 1027–1033. doi:10.1177/1933719114522520. PMID 24532217. S2CID 24041889.
  7. Matalliotakis, I.; Kourtis, A.; Panidis, D. (2003). "Adenomyosis". Obstetrics and Gynecology Clinics of North America. 30 (1): 63–82, viii. doi:10.1016/S0889-8545(02)00053-0. PMID 12699258.
[edit | edit source]