Can HSG diagnose adenomyosis?
Hysterosalpingography (HSG) was the first imaging modality used for the diagnosis of adenomyosis. The characteristic findings on HSG are multiple small (1±4 mm) spicules extending from the endometrium into the myometrium with saccular endings.
How would you describe adenomyosis?
Adenomyosis (ad-uh-no-my-O-sis) occurs when the tissue that normally lines the uterus (endometrial tissue) grows into the muscular wall of the uterus. The displaced tissue continues to act normally — thickening, breaking down and bleeding — during each menstrual cycle.
How is adenomyosis measured?
Transvaginal ultrasonography (TVUS) and magnetic resonance imaging (MRI) are the main radiologic tools for the diagnosis of adenomyosis [18]. MRI has a diagnostic accuracy of 85% [19], with added value in confirming the diagnosis and determining disease characteristics and extent and additional uterine lesions [20–22].
Can HSG results be wrong?
HSG showed a sensitivity of 81.2% compared with that of hysteroscopy and a specificity of 80.4%, with a positive predictive value of 63.4% and a negative predictive value of 83.7%. HSG also had a false-negative rate of 90% and a false-positive rate of 21.8%. Over- all agreement between the two procedures was 73%.
How can you tell the difference between adenomyosis and fibroids on ultrasound?
“Fibroids can be hypoechoic, isoechoic, or hyperdense. They also have peripheral vessels, distal shadowing, and calcification — in contrast to adenomyosis, which has central vessels, streaky shadows, and no calcification,” he said. Dr. Enea Atzori agrees with Dr.
How painful is an HSG?
The most frequent side effect of HSG is pain. Fortunately, it is short-lived, but up to 72% to 80% of patients report mild to moderate pain during the procedure (7,8). Because of this side effect, many different methods have been used to prevent pain perception during HSG.
Is the adenomyosis of the uterus asymptomatic?
Adenomyosis is a common uterine condition of ectopic endometrial tissue in the myometrium, sometimes considered a spectrum of endometriosis. Although most commonly asymptomatic, it may present with menorrhagia and dysmenorrhea. Pelvic imaging (i.e. ultrasound, MRI) may show characteristic findings.
How is pelvic tenderness related to adenomyosis?
Pelvic tenderness on examination is associated with diffuse enlargement of the uterus. Adenomyosis is histologically-defined as the presence of ectopic endometrial tissue within the myometrium.
Where does adenomyosis occur in the human body?
Pathology. Adenomyosis is histologically-defined by the presence of ectopic endometrial tissue within the myometrium. The exact cause of adenomyosis is unknown, but it is thought that endometrial glands directly invade the myometrium, resulting in spiral vessel angiogenesis, adjacent smooth muscle hyperplasia and hypertrophy.
Can a hysterectomy cure or cure adenomyosis?
Removal of the uterus (hysterectomy) cures adenomyosis Sometimes, adenomyosis causes no signs or symptoms or only mild discomfort. However, adenomyosis can cause: Severe cramping or sharp, knifelike pelvic pain during menstruation (dysmenorrhea) Your uterus might get bigger.