Focal form of adenomyosis

Focal adenomyosis is a morphological subtype of adenomyosis.

Terminology

Some authors regard this term synonymous with an adenomyoma.

Epidemiology

It is considered less common than diffuse uterine adenomyosis .

Pathology

Focal adenomyosis most commonly occurs at the fundal endometrial-myometrial interface .

Radiographic features

Ultrasound

May be seen as a focal area of myometrical thickening. It may also present as a heterogeneous, mildly echogenic focal nodule with indistinct margins and cystic spaces . On color Doppler, tortuous vessels are typically seen coursing through the abnormality .

MRI

It is typically seen as a localized, low-signal-intensity region within the myometrium on both T2-weighted and contrast-enhanced T1-weighted sequences . This region is often continuous with the junctional zone.

Differential diagnosis

See also

Siehe auch: