Characteristics associated with postoperative diagnosis of adenomyosis or combined adenomyosis with fibroids

Hans Jean-Baptiste, Maggie Tetrokalashvili, Tasscia Williams, Joshua Fogel, Chaur Dong Hsu

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

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. Conclusion 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.

Original languageEnglish (US)
Pages (from-to)112-114
Number of pages3
JournalInternational Journal of Gynecology and Obstetrics
Volume122
Issue number2
DOIs
StatePublished - Aug 2013
Externally publishedYes

Keywords

  • Adenomyosis Diagnosis Fibroids Pelvic pain Risk factor Surgery

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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