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01.08.2013

Decidualized adenomyosis during pregnancy and post delivery: three cases of magnetic resonance imaging findings

verfasst von: Fuki Shitano, Aki Kido, Koji Fujimoto, Shigeaki Umeoka, Yuki Himoto, Kayo Kiguchi, Eiji Kondoh, Yoshiki Mikami, Ikuo Konishi, Kaori Togashi

Erschienen in: Abdominal Radiology | Ausgabe 4/2013

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Abstract

Adenomyosis is a common gynecologic disease. Pregnancy with adenomyosis is on the increase due to a tendency of delay with first pregnancies and various infertility treatments involved in the process. We encountered decidualized adenomyosis in three patients during pregnancy, who were suspected by magnetic resonance (MR) imaging and were followed monitored post delivery. The MR imaging findings of adenomyosis during pregnancy showed low signal intensity areas with embedded bright foci that expanded to a few mm in diameter on half Fourier single-shot turbo spin-echo images. This finding may reflect decidual change of the stroma within the ectopic endometrium caused during pregnancy. The MR imaging findings of adenomyosis after childbirth showed hemorrhage inside the lesion, which were assumed to be led by rapid decrease in a blood flow to adenomyosis post childbirth.

Byun JY, Kim SE, Choi BG, et al. (1999) Diffuse and focal adenomyosis: MR imaging findings. Radiographics 19 Spec No:S161–S170

Azziz R (1989) Adenomyosis: current perspectives. Obstet Gynecol Clin North Am 16(1):221–235PubMed

Togashi K, Nishimura K, Itoh K, et al. (1988) Adenomyosis: diagnosis with MR imaging. Radiology 166(1 Pt 1):111–114PubMed

Devlieger R, D’Hooghe T, Timmerman D (2003) Uterine adenomyosis in the infertility clinic. Hum Reprod Updat 9(2):139–147CrossRef

Zaloudek C, Hendrickson MR (2002) Mesenchymal tumors of the uterus, Chap 13. In: Kurman RJ, (ed). Blaustein’s pathology of the female genital tract; fifth edition. New York: Springer, pp 599–600

Silverberg SG, Kurman RJ (1991) Tumor-Like Lesions. In: Rosai J (ed) Atlas of tumor pathology third series fascicle 3 tumors of the uterine corpus and gestational trophoblastic disease. Washington, D.C.: Armed Forces Institute of Pathology, pp 210–212

Cunningham FG, Leveno KJ, Bloom SL, et al. (2010) Maternal and fetal anatomy and physiology, sect 2. In: Dashe JS, Alexander JM, Hoffman BL, Sheffield JS, Mahendroo MS, Casey BM, (eds). Williams obstetrics; twenty-third edition. New York: The McGraw-Hill Companies, pp 44–45

Mutter GL, Ferenczy A (2002) Anatomy and histology of the uterine corpus, Chap 9. In: Kurman RJ, (ed). Blaustein’s pathology of the female genital tract; fifth edition. New York: Springer, pp 406–411

Tamai K, Togashi K, Ito T, et al. (2005) MR imaging findings of adenomyosis: correlation with histopathologic features and diagnostic pitfalls. Radiographics 25(1):21–40. doi:10.1148/rg.251045060 PubMedCrossRef

10.

Reinhold C, McCarthy S, Bret PM, et al. (1996) Diffuse adenomyosis: comparison of endovaginal US and MR imaging with histopathologic correlation. Radiology 199(1):151–158PubMed

11.

Togashi K, Ozasa H, Konishi I, et al. (1989) Enlarged uterus: differentiation between adenomyosis and leiomyoma with MR imaging. Radiology 171(2):531–534PubMed

12.

Outwater EK, Siegelman ES, Van Deerlin V (1998) Adenomyosis: current concepts and imaging considerations. AJR Am J Roentgenol 170(2):437–441PubMedCrossRef

13.

Cunningham FG, Leveno KJ, Bloom SL, et al. (2010) Antepartum, sect 3. In: Dashe JS, Alexander JM, Hoffman BL, Sheffield JS, Mahendroo MS, Casey BM, (eds). Williams obstetrics; twenty-third edition. New York: The McGraw-Hill Companies, p 364

14.

Jha RC, Takahama J, Imaoka I, et al. (2003) Adenomyosis: MRI of the uterus treated with uterine artery embolization. AJR Am J Roentgenol 181(3):851–856PubMedCrossRef

15.

Kitamura Y, Allison SJ, Jha RC, et al. (2006) MRI of adenomyosis: changes with uterine artery embolization. AJR Am J Roentgenol 186(3):855–864. doi:10.2214/AJR.04.1661 PubMedCrossRef

16.

Ueda H, Togashi K, Konishi I, et al. (1999) Unusual appearances of uterine leiomyomas: MR imaging findings and their histopathologic backgrounds. Radiographics 19 Spec No:S131–145

17.

Tanaka YO, Nishida M, Tsunoda H, Okamoto Y, Yoshikawa H (2004) Smooth muscle tumors of uncertain malignant potential and leiomyosarcomas of the uterus: MR findings. JMRI 20(6):998–1007. doi:10.1002/jmri.20207 PubMedCrossRef

Titel: Decidualized adenomyosis during pregnancy and post delivery: three cases of magnetic resonance imaging findings
verfasst von: Fuki Shitano
Aki Kido
Koji Fujimoto
Shigeaki Umeoka
Yuki Himoto
Kayo Kiguchi
Eiji Kondoh
Yoshiki Mikami
Ikuo Konishi
Kaori Togashi
Publikationsdatum: 01.08.2013
Verlag: Springer US
Erschienen in: Abdominal Radiology / Ausgabe 4/2013
Print ISSN: 2366-004X
Elektronische ISSN: 2366-0058
DOI: https://doi.org/10.1007/s00261-013-9988-5

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Decidualized adenomyosis during pregnancy and post delivery: three cases of magnetic resonance imaging findings

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