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Adenomyosis - Coggle Diagram
Adenomyosis
Clinical
HMB(menorrhagia)
progressive dysmennorhea
Pressure symptom
Infertile
Pathogenesis
• Invagination of endometrium into the myometrium
• Embryonic misplaced pleuripotent mullerian remnants
• Hormonal abnormalities
Tx เหมือน Endometrium
Medical treatment
Surgical treatment
Gold standard : Hysterectomy
Expectant
Physical examination
Enlarge uterus, Globular shape, smooth surface
Pelvic mass
characteristic
แบบกระจาย เกิดเป็น diffuse enlarge uterus > globular shape**
Investigation
U/S : Globular uterine shape
Dx : Histologic finding