Treatment of infertile women with adenomyosis with a conservative microsurgical technique and a gonadotropin-releasing hormone agonist

Wang, Peng-Hui; Yang, Tzay-Shing; Lee, Wen-Ling; Chao, Hsiang‐Tai; Chang, Shang‐Tzen; Yuan, Chiou‐Chung

doi:10.1016/s0015-0282(00)00411-8

Cited by 60 publications

(41 citation statements)

References 3 publications

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“…Os resultados encontrados neste estudo confirmam os já observados em mulheres e camundongas. Ainda, a utilização de antiprogestinas foi capaz de promover a regressão da enfermidade em mulheres e animais, reforçando o papel fundamental da progesterona na manutenção da adenomiose (Singtripop et al, 1992;Mori et al, 2002;Wang et al, 2002).…”

Section: Resultsunclassified

Aspectos histopatológicos da adenomiose em úteros bovinos nas diferentes fases do ciclo estral

Moreira¹,

Carvalho²,

Caldas-Bussiere³

2007

Arq. Bras. Med. Vet. Zootec.

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RESUMORelacionaram-se as características da adenomiose com as fases do ciclo estral em 61 peças de úteros de bovinos colhidas em matadouros. A adenomiose foi classificada em superficial e profunda. A fase do ciclo estral foi estimada pela morfologia, pela coloração e pela vascularização do corpo lúteo e presença ou não de folículos ovarianos maiores que 8mm. Os animais que estavam em anestro (n=11) apresentaram a menor ocorrência de adenomiose (8,2%), e os que estavam na fase lútea média (n=21), a maior (31,0%). Nas fases lútea inicial (n=13) e folicular (n=16) as ocorrências foram semelhantes, 18,0 e 22,9%, respectivamente. A maior porcentagem de adenomiose profunda ocorreu nas fases lútea inicial e média, 45,0 e 47,4%, respectivamente, e durante o anestro e a fase folicular foram de 20,0 e 14,3%, respectivamente. Os resultados sugerem que a fase do ciclo estral influencia na ocorrência de adenomiose e no grau de infiltração miometrial das glândulas endometriais.Palavras-chave: bovino, adenomiose, ciclo estral, histopatologia ABSTRACT The relationship of the adenomyosis characteristics and the phases of the estrus cycle in 61 cows bovine's uteruses collected in slaughterhouses was

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Section: Resultsunclassified

Aspectos histopatológicos da adenomiose em úteros bovinos nas diferentes fases do ciclo estral

Moreira¹,

Carvalho²,

Caldas-Bussiere³

2007

Arq. Bras. Med. Vet. Zootec.

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“…10 Transvaginal ultrasonography has a sensitivity of 84% and specificity of 90% in the ovarian mass. 12 In this study, 32 cases were diagnosed with adenomyosis using transvaginal USG. The histopathological results after resection showed that 30 cases (93.7%) were in accordance with adenomyosis and 2 cases (6.3%) with uterine myoma.…”

Section: Discussionmentioning

confidence: 99%

“…11 In order to confirm diagnosis of adenomyosis with transvaginal USG, it would be best that the diagnosis is based on the appearance of hypoechoic region, asymetrical uterine enlargement, unclearly-defined endometrium and myometrium, and the thickening of endometrium halo. 12 Previous studies demonstrated that transvaginal ultrasonography was able to assess the mass in the pelvic and to distinguish between ovarian endometriosis and other ovarian masses. 10 Transvaginal ultrasonography has a sensitivity of 84% and specificity of 90% in the ovarian mass.…”

Section: Discussionmentioning

confidence: 99%

Management of adenomyosis in infertile women: comparison between laparotomic resection and administration of aromatase inhibitor (<em>Experience in 55 cases</em>)

Rajuddin¹,

Jacoeb²

2006

Med J Indones

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“…Das Ziel der fertilitätserhaltenden Operationen ist die komplette Resektion aller Endometrioseherde und eine organschonende Operationstechnik [44]. Wie bereits erwähnt, ist die Adenomyose aufgrund der sehr variierenden Pathologie schwer darzustellen.Fokale Herde zeigen allerdings deutliche Veränderungen in der Sonographie oder MRI.…”

Section: Fertilitätserhaltende Operationenunclassified

Endokrine operative Therapie der Adenomyosis

Keckstein

Ulrich

2004

Gyn�kologische Endokrinologie

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Als Adenomyosis wird das Vorhandensein von Stroma-und Epithelzellen imMyometrium bezeichnet (⊡ Abb. 1, 2). Dieses Phänomen, auch Endometriosis genitalis interna genannt, wurde in der Vergangenheit oft gar nicht oder zu spät diagnostiziert. Dabei wurde die Diagnose postoperativ erst durch den Pathologen am Präparat nachgewiesen. Eine Adenomyosis wird mit Myomen oder einer Myohyperplasie verwechselt, woraus eine falsche Therapie resultieren kann. Das Auftreten von Epithel-, Stroma-und glatten Muskelzellen außer-halb des Uterus wird als extrauterine Adenomyosis beschrieben [8, 25]).Veränderungen dieser Art finden sich insbesondere im Septum rectovaginale und in der Darm-bzw. Blasenwand. In 20-35% der wegen einer anderen benignen Erkrankungen entfernten Uteri findet sich eine Adenomyosis. Klinik ▃ Das häufigste Symptom der Adenomyosis ist die abnorme Menstruationsblutung (⊡ Tabelle 1). Ausgeprägte, krampfartige Schmerzen begleiten diese Blutungspathologie in über 60% der Fälle. Meist findet sich eine deutliche Vergrößerung des Uterus, eine Veränderung seiner Konsistenz und seiner Lage. Eine Retroflexio des Uterus kann durch eine Adenomyose verursacht sein, insbe-

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Treatment of infertile women with adenomyosis with a conservative microsurgical technique and a gonadotropin-releasing hormone agonist

Cited by 60 publications

References 3 publications

Aspectos histopatológicos da adenomiose em úteros bovinos nas diferentes fases do ciclo estral

Aspectos histopatológicos da adenomiose em úteros bovinos nas diferentes fases do ciclo estral

Management of adenomyosis in infertile women: comparison between laparotomic resection and administration of aromatase inhibitor (<em>Experience in 55 cases</em>)

Endokrine operative Therapie der Adenomyosis

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