Open AccessAccuracy of sonographic criteria for diagnosis of adenomyosis in perimenopausal women with menorrhagia
Author(s) -
Ahmed Mohammed Abdel Hak
Publication year - 2010
Publication title -
middle east fertility society journal/middle east fertility society journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.322
H-Index - 18
eISSN - 2090-3251
pISSN - 1110-5690
DOI - 10.1016/j.mefs.2010.03.004
Subject(s) - adenomyosis , medicine , transvaginal ultrasound , obstetrics , gynecology , hysterectomy , observational study , pelvic pain , uterus , endometriosis , radiology , ultrasound
Objective: To determine the accuracy of transvaginal ultrasound in the diagnosis of uterine adenomyosis in women with menorrhagia.Design: Prospective observational clinical trial.Setting: Kasr El-Aini Hospital, Cairo University.Participants and interventions: Fifty perimenopausal women with menorrhagia were divided into two groups: those who have received hormonal therapy for menorrhagia (21 cases) and those who received nothing. Transvaginal sonography was done for all cases and correlation with histopathological assessment done after hysterectomy.Results: Transvaginal US had a sensitivity of 83%, a specificity of 86%, and a positive and negative predictive value of 66% and 94%, respectively. The diagnosis of adenomyosis uteri of the 10 patients with true-positive findings at US, the myometrium demonstrated heterogeneous and hypoechoic areas with or without the presence of cysts in 10 (100%) patients, hypoechoic areas with cysts in 5 (50%) patients, linear striation and globular uterus in 5 (50%). Eleven out of 12 (91%) cases of adenomyosis had an enlarged uterus.Conclusion: Adenomyosis of the uterus can be accurately diagnosed with transvaginal US with use of specific sonographic criteria. It is safe, available and cheap modality of diagnosis