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Clinical characteristics indicating adenomyosis at the time of hysterectomy: a retrospective study in 291 patients

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Abstract

Purpose

To better characterize adenomyosis as a disease entity.

Methods

We retrospectively reviewed the medical records of women undergoing hysterectomy with a histologic diagnosis of adenomyosis, adenomyosis and leiomyomas, and leiomyomas alone.

Results

The study included 291 women: 38 with adenomyosis alone, 56 with adenomyosis and leiomyomas, and 197 with leiomyomas alone. In univariate analysis, women with adenomyosis were younger (p = 0.018) and had lower uterine weights (p < 0.001) and more disease-specific symptoms (p = 0.008). In multinomial logistic regression analysis, a lower uterine weight (OR 0.99, CI 95% 0.99–1.0), pelvic pain (OR 4.8, CI 95% 1.5–15.2), a history of smoking (OR 2.6, CI 95% 1.1–6.5) and at least one delivery (OR 4.3, CI 95% 1.5–12.3) were associated with a greater likelihood of having adenomyosis but not leiomyomas alone.

Conclusions

Women undergoing hysterectomy with adenomyosis alone have different clinical characteristics from women with adenomyosis and leiomyomas and from those with only leiomyomas.

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Correspondence to F. Andrei Taran.

Additional information

F. A. Taran and M. Wallwiener have contributed equally to this work.

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Taran, F.A., Wallwiener, M., Kabashi, D. et al. Clinical characteristics indicating adenomyosis at the time of hysterectomy: a retrospective study in 291 patients. Arch Gynecol Obstet 285, 1571–1576 (2012). https://doi.org/10.1007/s00404-011-2180-7

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  • DOI: https://doi.org/10.1007/s00404-011-2180-7

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