Abstract
Background: Adenomyosis is characterized by the detection of endometrial glands and stroma within the myometrium about one and a half low power field away from endomyometrial junction. There are also smooth muscle changes associated with the main findings ,although they are less obvious and difficult to quantify on routine histological examination
Materials and Methods: Case records of the patients who had undergone hysterectomy in Govt. Medical College Jammu from January 2017 to December 2018 were reviewed and number of cases diagnosed as Adenomyosis were recorded.
Out of 1356 patients who underwent hysterectomy, 176 patients were found to have Adenomyosis. Majority were between age group of 31 to 50 years.
Results: Adenomyosis was present in 176 patients out of 1356 hysterectomies during a study period of 2 years. The comorbid conditions were seen in 80 patients. Majority of age group was between 31 to 50 years.
Comorbid conditions included
- Menorrhagia
- Dysmenorrhea
- Intermenstual pelvic pain
- Post menopausal bleeding
Keywords: Adenomyosis, dysmenorrhea, hysterectomy, multipara.
References
- Brucker SY, Huebner M, Wallmiener M, Stewart EA, Ebersoll S, Schoenfisch B et al. A retrospective ,questionnaire based study .fertil steril 2014;101:237 – 241 .el.
- Arunachalam B , Manivasakan J.A clinico – pathological study of adenomyosis .J Clin Diag Res 2012; 6:428 – 30.
- Reinhold C,Tafazoli F,Wang L: imaging features of adenomyosis .Hum Reprod update 4: 337 , 1998.
- Parazzini F,vercellini P,Panazza S,Chatenoud L,oldani s, CrosignaniP G .Risk factors for adenomyosis .Hum Reprod 1997;12:1275-9.
- Bird CC, Mc Elin TW, Manalo – Estrella P.The elusive adenomyosis of the uterus - revisited .Am J obstet Gynecol 1972:112:583-93.
- Levgur M, Abadi MA, Tucker A. Adenomyosis: symptoms, histology, and pregnancy termination s. Obstet Gynecol 2000;95:688-91.
- Cohen I, Beyth Y ,Shapira J, Teooer R , Fishman A, Cordoba M ,et al.High frequency of adenomyosis in postmenopausal breast cancer patients treated with tamoxifen .Gynecol Obstet invest 1997;44: 200-5.
- Thomas JS Jr,Clark JF.Adenomyosis : Aretrospective view .J Natl Med Assoc 1989:81:969-72.
- Aziz R. Adenomyosis: current perspectives .obstet gynecol Clin North Am 1989 ; 16 : 221-35.
- Sharqill SK, Sharqill HK, Gupta M, Kaur S. A clinicopathological study of hysterectomy. J Indian Med Assoc 2002; 100: 238- 9.PUBMED.
- Shaikh H, Khan KS. Adenomyosis in Pakistani women. Four years of experience at the Aga Khan University Medical Centre, Karachi. J Clin Pathol 1990; 43:817-9.PUBMED.
- M S Siddegowda, M R Manjunath. Occurence of Adenomyosis in hysterectomy specimen and its clinical correlation in a tertiary care hospital in Mandya, Karnataka, India.
- Khreisat B, Al-Rawabdeh S, Duqoum W. Adenomyosis: the frequency of hysterectomy in the histopathological specimens at two Jordanian military hospitals JRMS 2011; 18(2): 76-79 PDF. assay. J Clin Pathol 1985; 38:694-700.
- Adenomyosis w Vavilis, T. Agorastos, J. Tzafetas et al., “Adenomyosis at hysterectomy: prevalence and relationship to operative findings and reproductive and menstrual factors,” Clinical and Experimental Obstetrics & Gynecology, vol. 24, no. 1, pp. 36–38, 1997.View at Google Sc
- Sharqill SK, Sharqill HK, Gupta M, Kaur S. A clinicopathological study of hysterectomy. J Indian Med Assoc 2002; 100: 238- 9.PUBMED.
- Khreisat B, Al-Rawabdeh S, Duqoum W. Adenomyosis: the frequency of hysterectomy in the histopathological specimens at two Jordanian military hospitals JRMS 2011; 18(2): 76-79 PDF. assay. J Clin Pathol 1985; 38:694-700.
- Shaikh H, Khan KS. Adenomyosis in Pakistani women. Four years of experience at the Aga Khan University Medical Centre, Karachi. J Clin Pathol 1990; 43:817-9.PUBMED.
- Arunachalam B, Manivasakan J. A clinico – Pathological study of adenomyosis. J Clin Diagn Res 2012;6:428-30.
Corresponding Author
Dr Akhtar Un Nisa Salaria
Department of Pathology, Government Medical College Jammu
Jammu and Kashmir, India
DOI: https://dx.doi.org/10.18535/jmscr/v7i7.130
