Clinical and Morphological Features of Focal Adenomyosis

Background: Adenomyosis is a very real problem encountered in modern gynecology due to the increase in the incidence, severity of the disease, and absence of effective methods of conservative treatment. The aim of the study was to investigate the clinical and morphological features of the focal and...

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Main Authors: Yuliya B. Kurashvili, Alexander I. Guus, Evgeniya A. Kogan, Nina B. Paramonova, Aleksey A. Shklyar, Leila V. Adamyan
Format: Article
Language:English
Published: International Medical Research and Development Corporation 2013-09-01
Series:International Journal of Biomedicine
Subjects:
Online Access:http://ijbm.org/articles/Article3_3_CR2.pdf
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author Yuliya B. Kurashvili
Alexander I. Guus
Evgeniya A. Kogan
Nina B. Paramonova
Aleksey A. Shklyar
Leila V. Adamyan
author_facet Yuliya B. Kurashvili
Alexander I. Guus
Evgeniya A. Kogan
Nina B. Paramonova
Aleksey A. Shklyar
Leila V. Adamyan
author_sort Yuliya B. Kurashvili
collection DOAJ
description Background: Adenomyosis is a very real problem encountered in modern gynecology due to the increase in the incidence, severity of the disease, and absence of effective methods of conservative treatment. The aim of the study was to investigate the clinical and morphological features of the focal and diffuse forms of adenomyosis. Methods and Results: The study involved 70 women who applied to the Center with the diagnosis of ‘adenomyosis’. Examination included transvaginal sonography (TVS), magnetic resonance spectroscopy (MRS), and morphological study of the adenomyotic foci. With a probability of 99%, one can argue that focal adenomyosis (FA) in its clinical features is different from diffuse adenomyosis (DA) in all its major manifestations. Conclusion: FA has unique morphological characteristics and clinical features. The diagnosis of FA should be based on a complex of clinical and instrumental data in conjunction with morphological process verification. Besides, there are difficulties in the diagnosis of FA, which is a major reason for the incorrect determination of the treatment tactic for patients. However, the application of MRS allows the preoperative identification of the biochemical structure of the focus and determination of its borders, and in the postoperative period, selection of optimal treatment tactics based on the identified morphological features of the removed adenomyotic foci.
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spelling doaj.art-7b117b537eba4916b89eebf7875987032022-12-21T19:27:50ZengInternational Medical Research and Development CorporationInternational Journal of Biomedicine2158-05102158-05292013-09-0133166169Clinical and Morphological Features of Focal AdenomyosisYuliya B. KurashviliAlexander I. GuusEvgeniya A. KoganNina B. ParamonovaAleksey A. ShklyarLeila V. AdamyanBackground: Adenomyosis is a very real problem encountered in modern gynecology due to the increase in the incidence, severity of the disease, and absence of effective methods of conservative treatment. The aim of the study was to investigate the clinical and morphological features of the focal and diffuse forms of adenomyosis. Methods and Results: The study involved 70 women who applied to the Center with the diagnosis of ‘adenomyosis’. Examination included transvaginal sonography (TVS), magnetic resonance spectroscopy (MRS), and morphological study of the adenomyotic foci. With a probability of 99%, one can argue that focal adenomyosis (FA) in its clinical features is different from diffuse adenomyosis (DA) in all its major manifestations. Conclusion: FA has unique morphological characteristics and clinical features. The diagnosis of FA should be based on a complex of clinical and instrumental data in conjunction with morphological process verification. Besides, there are difficulties in the diagnosis of FA, which is a major reason for the incorrect determination of the treatment tactic for patients. However, the application of MRS allows the preoperative identification of the biochemical structure of the focus and determination of its borders, and in the postoperative period, selection of optimal treatment tactics based on the identified morphological features of the removed adenomyotic foci.http://ijbm.org/articles/Article3_3_CR2.pdffocal adenomyosistransvaginal sonographymagnetic resonance spectroscopy.
spellingShingle Yuliya B. Kurashvili
Alexander I. Guus
Evgeniya A. Kogan
Nina B. Paramonova
Aleksey A. Shklyar
Leila V. Adamyan
Clinical and Morphological Features of Focal Adenomyosis
International Journal of Biomedicine
focal adenomyosis
transvaginal sonography
magnetic resonance spectroscopy.
title Clinical and Morphological Features of Focal Adenomyosis
title_full Clinical and Morphological Features of Focal Adenomyosis
title_fullStr Clinical and Morphological Features of Focal Adenomyosis
title_full_unstemmed Clinical and Morphological Features of Focal Adenomyosis
title_short Clinical and Morphological Features of Focal Adenomyosis
title_sort clinical and morphological features of focal adenomyosis
topic focal adenomyosis
transvaginal sonography
magnetic resonance spectroscopy.
url http://ijbm.org/articles/Article3_3_CR2.pdf
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