:: Article: Adenomyosis: A Clinico-Pathological Study
:: Author(s): Ashwini R Bhalerao, Malavika A Vidwans, SS Khandeparkar, AA Pandit, IM Vora, SS Sheth
:: Keyword : Adenomyosis: A Clinico-Pathological Study

:: SUMMARY :- : The diagnosis of adenomyosis is underestimated clinically as well as histopathologically. To find out the true incidence of adenomyosis and clinicopathological profile of women having adenomyosis, a prospective study was undertaken. One, hundred successive women undergoing hysterectomy for various indications were studied. The incidence of adenomyosis was 15% by routine sections which increased to 25% by taking extra sections. This signifies that to rule out adenomyosis, extra sections should be taken in all cases of suspected DUB, adenomyosis and fibroid uterus. Maximum incidence of adenomyosis was seen in 4th and 5th decade of life and in multiparous women having 3 or more deliveries, 72% women had history of last delivery 10 years earlier. Most of the endometria showed proliferative phase or cystic hyperplasia. Leiomyoma was the commonest associated lesion. All these factors indicate prolonged action of estrogens uninhibited by progesterone leading to development of adenomyosis

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