title: Characteristics associated with postoperative diagnosis of adenomyosis or combined adenomyosis with fibroids.
abstract: OBJECTIVE
  To identify clinical characteristics associated with combined adenomyosis and fibroids and to determine whether preoperative diagnosis by ultrasonography correlates with postoperative diagnosis by pathology.
  
  
  METHODS
  A retrospective chart review was conducted of 206 women who attended Nassau University Medical Center, East Meadow, USA, between July 1, 2007, and June 30, 2010. The patients were stratified into 3 groups-fibroids only (n=148); adenomyosis only (n=21); or combined adenomyosis and fibroids (n=37)-according to postoperative pathology findings and variables known to be associated with adenomyosis and fibroids. Significant variables were included in a multinomial regression analysis.
  
  
  RESULTS
  Dysmenorrhea was the only variable significantly associated with a diagnosis of adenomyosis. The odds ratio (OR) was 3.34 (95% confidence interval [CI], 1.14-9.80). Variables significantly associated with combined adenomyosis and fibroids were age (OR, 1.08; 95% CI, 1.01-1.15), black ethnicity (OR, 2.72; 95% CI, 1.11-6.68), and parity (OR, 1.44; 95% CI, 1.08-1.92). Preoperative diagnosis by ultrasonography did not correlate with the postoperative pathology report.
  
  
  CONCLUSIONS
  Including the identified variables in the preoperative evaluation of patients with suspicion of fibroids might improve the counseling process and aid the choice of surgical procedure, especially among patients desiring a conservative approach.
authors: Department of Obstetrics and Gynecology, Nassau University Medical Center, East Meadow, USA. hansjb72@yahoo.com
authors: Hans
authors: H
authors: Jean-Baptiste
authors: Maggie
authors: M
authors: Tetrokalashvili
authors: Tasscia
authors: T
authors: Williams
authors: Joshua
authors: J
authors: Fogel
authors: Chaur-Dong
authors: CD
authors: Hsu
mesh_terms: D062788:Adenomyosis / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D000367:Age Factors; D004412:Dysmenorrhea / Q000453:epidemiology / Q000209:etiology; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D008875:Middle Aged; D010298:Parity; D011300:Preoperative Care / Q000379:methods*; D012044:Regression Analysis; D012189:Retrospective Studies; D012307:Risk Factors; D014463:Ultrasonography; D014594:Uterine Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery