? 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
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? 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
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? Usually parous and in forties? Endometriosis and fibroids coexist
? Menorrhagia
? Menometrorrhagia
? Congestive dysmenorrhoea
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? Deep dyspareunia premenstrually? Uterus enlarged
? Uterus softer than normal
? Pelvic examination show uniform uterine enlargement with no restriction of
mobility
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? Enlarged uterus
? Asymmetric enlargement of the posterior wall
? Myometrium multiple cysts with increased vascularity
? Junction of endometrium and myometrium may be Indistinct
? MRI
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? Widening of junctional zone thickness 12 mm or more? Lack distinct border
? Depends on age and desire for future fertility
? NSIADs
? Oral contraceptives
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? Total hysterectomy? Resection
? Laproscopic myometrial electrocoagulation
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