diffuse Adenomyose

nicht verwechseln mit: diffuse Adenomyomatose

Diffuse uterine adenomyosis is the most common of uterine adenomyosis. For the discussion of adenomyosis, please refer to the parent article - adenomyosis of the uterus.

Epidemiology

Diffuse adenomyosis may account for ~2/3of uterine adenomyosis.

Pathology

Diffuse adenomyosis can be even or uneven in involvement and, therefore, it is subclassified as either symmetrical or asymmetrical .

Radiographic features

Ultrasound

Non-specific but may be seen as heterogeneity in myometrial echotexture.

Myometrial bulkiness however may be asymmetric and typically can affect the fundal region and posterior wall .

MRI

On T2-weighted MR images, diffuse adenomyosis usually manifested as diffuse thickening of the endometrial-myometrial junctional zone (many use the thickness cut off of ~12 mm) with homogeneous low signal intensity .

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