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Prediction of adenomyosis according to revised definitions of morphological uterus sonographic assessment features.
Yavuz, Onur; Akdöner, Asli; Özgozen, Mehmet Eyüphan; Ertan, Begüm; Kurt, Sefa; Ulukus, Emine Cagnur; Güney, Mehmet.
Afiliación
  • Yavuz O; Department of Obstetrics and Gynecology, Dokuz Eylül University School of Medicine, Izmir, Türkiye.
  • Akdöner A; Department of Obstetrics and Gynecology, Dokuz Eylül University School of Medicine, Izmir, Türkiye.
  • Özgozen ME; Department of Obstetrics and Gynecology, Dokuz Eylül University School of Medicine, Izmir, Türkiye.
  • Ertan B; Department of Obstetrics and Gynecology, Dokuz Eylül University School of Medicine, Izmir, Türkiye.
  • Kurt S; Department of Obstetrics and Gynecology, Dokuz Eylül University School of Medicine, Izmir, Türkiye.
  • Ulukus EC; Department of Pathology, Dokuz Eylül University School of Medicine, Izmir, Türkiye.
  • Güney M; Department of Obstetrics and Gynecology, Dokuz Eylül University School of Medicine, Izmir, Türkiye.
Front Med (Lausanne) ; 11: 1387515, 2024.
Article en En | MEDLINE | ID: mdl-39175822
ABSTRACT

Objectives:

This study aimed to predict the diagnosis of adenomyosis by revised definitions of morphological uterus sonographic assessment (MUSA) features in individuals who had hysterectomy.

Methods:

This was retrospective cohort research conducted at a tertiary facility. Between January 2022 and January 2023, 196 individuals who had hysterectomy were analyzed in the research. The revised definitions of MUSA features of the adenomyosis approach were used to record the direct and indirect results of the sonography. The cases were classified as Group 1 (adenomyosis; n = 40, 20.4%) and Group 2 (control; n = 156, 79.6%) according to histopathology reports.

Results:

Hyperechogenic islands and echogenic subendometrial buds and lines were the most predictive direct features (p = 0.02). Globular uterus and irregular junctional zone were the most predictive indirect features (p = 0.04; p = 0.03, respectively). Among all indirect features, the globular uterus was the most predictive (p = 0.02). Total feature >4 was determined as the significant cutoff value to predict adenomyosis (p < 0.001).

Conclusion:

This study shows that combinations with a total number of features >4 can be practically used in the evaluation of adenomyosis using the revised definitions of MUSA features.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Front Med (Lausanne) Año: 2024 Tipo del documento: Article Pais de publicación: Suiza

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Front Med (Lausanne) Año: 2024 Tipo del documento: Article Pais de publicación: Suiza