Select a Community
Are you sure you want to trigger topic in your Anconeus AI algorithm?
You are done for today with this topic.
Would you like to start learning session with this topic items scheduled for future?
Hyperplastic overgrowths of endometrial glands and stroma
13%
5/39
Malignant invasion of endometrial cells into uterine myometrium
3%
1/39
Presence of endometrial glands and stroma in uterine myometrium
59%
23/39
Presence of endometrial glands and stroma outside the uterus
Benign smooth muscle tumor of the uterus
21%
8/39
Select Answer to see Preferred Response
This patient is presenting with signs and symptoms of adenomyosis. Adenomyosis is characterized by the presence of endometrial glands and stroma in the uterine myometrium. Adenomyosis presents with dysmenorrhea, menorrhagia, and a tender, boggy, and enlarged uterus. The pathophysiology of adenomyosis is related to implantation of endometrial glands within the myometrium. In contrast, a leiomyoma presents with an enlarged, firm, and irregularly shaped uterus - this is an important differential diagnosis when working up adenomyosis. Incorrect Answers: Answer 1: Hyperplastic overgrowth of endometrial glands and stroma describes endometrial hyperplasia or an endometrial polyp. Whereas this patient is describing menorrhagia, endometrial hyperplasia and polyps would be more likely to present in a premenopausal patient with intermenstrual bleeding. Endometrial hyperplasia or polyps also would not explain this patient’s dysmenorrhea or enlarged, boggy uterus. Answer 2: Malignant invasion of endometrial cells into the uterine myometrium describes endometrial carcinoma. Endometrial carcinoma typically presents with abnormal uterine bleeding but is more common in postmenopausal women. It also would not explain this patient’s physical exam findings. Answer 4: Presence of endometrial glands and stroma outside the uterus describes endometriosis. Patients with endometriosis classically present with recto-vaginal tenderness, uterosacral ligament abnormalities such as nodularity or thickening, lateral displacement of the cervix, and possible adnexal enlargement due to an endometrioma. Answer 5: Benign smooth muscle tumor of the uterus describes a uterine leiomyoma, or fibroid. Patients with fibroids typically present with an enlarged, irregularly shaped, nontender uterus. Bullet Summary: Adenomyosis is the presence of endometrial glands and stroma in the myometrium.
4.0
(7)
Please Login to add comment