title: Imaging for uterine myomas and adenomyosis.
abstract: Uterine myomas and adenomyosis are common findings, in particular in patients with symptoms of abdominal enlargement, pelvic pressure, abnormal uterine bleeding, dysmenorrhea, and dyspareunia. Diagnosis and differentiation between the 2 entities are critical in establishing treatment options and the operative approach for surgical management. Herein are reviewed diagnostic options, their relative accuracy, and the effect of accurate diagnosis on treatment. A review was performed using PubMed, MdConsult, OVID, and reviews including cross-referenced articles and prospective and retrospective studies published from 1980 to 2013. Also reviewed are use of ultrasound with its various methods, magnetic resonance imaging, computed tomography, and positron emission tomography in the diagnosis, pretreatment evaluation, and differentiation of myomas and adenomyosis.
authors: Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson, Mississippi. Electronic address: jshwayder@umc.edu.
authors: James
authors: J
authors: Shwayder
authors: Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia.
authors: Khaled
authors: K
authors: Sakhel
mesh_terms: D062788:Adenomyosis / Q000000981:diagnostic imaging*; D004412:Dysmenorrhea; D054459:Elasticity Imaging Techniques; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D007889:Leiomyoma / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009214:Myoma; D010388:Pelvis; D049268:Positron-Emission Tomography; D011446:Prospective Studies; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D018615:Ultrasonography, Doppler, Color; D014594:Uterine Neoplasms / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy
keywords: Adenomyosis; CT; Doppler; Elastography; Leiomyoma; Leiomyosarcoma; MRI; Myoma; Ultrasound