Download MBBS OBG Adenomycosis Lecture PPT

Download MBBS (Bachelor of Medicine and Bachelor of Surgery) OBG Adenomycosis PowerPoint PPT presentation


? Beningn ingrowing of the endometrium (both glandular and stromal) into the
myometrium



? Uterus diffusely enlarged due to myometrial hyperplasia
? Enlargement asymmetrical and more on the posterior wall
? 12-14 week size
? Cut section thickening of uterine wall with trabeculated appearance
? No capsule
? Microscopy glandular cells surrounded by stromal cells in myometrium

? Usually asymptomatic
? Usually parous and in forties
? Endometriosis and fibroids coexist

? Menorrhagia
? Menometrorrhagia
? Congestive dysmenorrhoea
? Deep dyspareunia premenstrually

? Uterus enlarged
? Uterus softer than normal
? Pelvic examination show uniform uterine enlargement with no restriction of
mobility

? Enlarged uterus
? Asymmetric enlargement of the posterior wall
? Myometrium multiple cysts with increased vascularity
? Junction of endometrium and myometrium may be Indistinct
? MRI
? Widening of junctional zone thickness 12 mm or more
? Lack distinct border

? Depends on age and desire for future fertility
? NSIADs
? Oral contraceptives
? Total hysterectomy
? Resection
? Laproscopic myometrial electrocoagulation



This post was last modified on 12 August 2021