Sonographic 3 D Features Correlated to Uterine
Pathological Issues
Volume 3 - Issue 2
Osama Ismail Kamel1* and Karima Fahmy Sidhom2
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- 1Obstetrics and Gynecology Department, Ain Shams University, Egypt
- 2pathology Department, Ain Shams University, Egypt
*Corresponding author:
Osama Ismail Kamel, Obstetrics and Gynecology Department, Ain Shams University, Egypt
Received:April 22, 2019; Published: April 29, 2019
DOI: 10.32474/IGWHC.2018.03.000158
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Abstract
Background Adenomyosis is a frequent gynecological disease of unknown etiology causing menstrual pain disorders and
pelvic congestion, that definite histopathological based diagnosis of adenomyosis relies on the presence of endometrial glands and
stroma within the myometrial tissue, junctional zone assessed sonographically could elucidate the nature of disease progressive
pathological changes
Aim: To investigate the value and usefulness of Junctional Zone indices in suspicion and diagnosis of adenomyosis disease in
correlation to histopathological findings
Methodology:A clinical research trial conducted on 200 research study subjects scheduled for hysterectomy procedure due to
abnormal uterine bleeding and/or dysmenorrhea unresponsive to medical treatment performed at Ain Shams University maternity
hospital from January 2018 till March 2019, all research study subjects have undergone two‐ and three‐dimensional transvaginal
sonography before the day of surgery
Result: There was statistically significant difference between research groups (Adenomyosis of the inner myometrium,
Serrated junctional zone, Linear junctional zone,) as regards 2 D features anechoic lacunae, asymmetric corpus myometrium
,myometrial cysts, fan shaped shadowing, mean number of 2D features (p values <0.001), concerning 3 D features Mean JZ max,
Mean JZ diff, JZ interruption, Sub endometrial lines and buds, mean number of 3D features (p values <0.001).
Conclusion: Junctional zone changes could be denoting early phases of adenomyosis disease development furthermore the
3D sonographic features implemented were considered and shown to be more valuable in elucidating the pathological changes
confirmed by histopathological examination.
Keywords: Adenomyosis; Sonographic; Endometrial lining; Myometrium
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