256 Obstetrics and Gynecology Board Review •••
❍ Name the imaging technology most likely to diagnose adenomyosis.
Magnetic resonance.❍ What other condition is commonly associated with adenomyosis?
Leiomyomata, up to 57% of the time.
Also frequently occurs in association with endometrial adenocarcinoma.
❍ What is the treatment of adenomyosis?
Hysterectomy remains the first choice; bromocriptine and RU486 have been shown to suppress adenomyosis.
❍ True or False: Endometrioid carcinoma is of endometriosis origin.
False. This designation is merely a description of the microscopic findings and has nothing to do with the etiology
of the carcinoma.
❍ What are the ultrasound characteristics of adenomyosis?
- Ill-defined hypoechoic areas.
- Heterogeneous myometrial echotexture.
- Small anechioc lakes.
- Asymmetrical uterine enlargement.
- Indistinct endometrial-myometrial border.
- Subendometrial halo thickening.