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Re: Adenomyoma From: George M. Grunert, M.D. (grunert@ivfhouston.com) Sat Jun 17 10:20:41 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Harrison Sheld: "Re: Adenomyoma" Previous message: Charlie Chambers: "Re: Image" Next in thread: Mark Perloe: "Re: Adenomyoma" Reply: Mark Perloe: "Re: Adenomyoma" You've resected the adenomyoma, but she has a good chance of additional adenomyosis elsewhere in the myometrium. I would place her on LupronDepot for 3 to 6 months, then stop and encourage her to try for pregnancy quickly. Watch out for postoperative intrauterine adhesions. Follow uterine size and appearance with ultrasound. Adenomyomas can look like non-homogeneous myometrial areas or like leiomyomata without distinct borders. -- George M. Grunert, M.D. Director, Assisted Reproductive Technology Program Obstetrical and Gynecological Associates 7550 Fannin Houston, TX 77054 713-512-7851 fax 713-512-7853 grunert@ivfhouston.com -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of JOshea1770@aol.com Sent: Saturday, May 27, 2000 5:15 AM To: Multiple recipients of list OB-GYN-L Subject: Adenomyoma A 38 yo G3 P0 Ab2 female had a 15 week spontaneous loss. She retained the placenta which was removed in the operating room. Three months postoperatively a hysterosalpingogram demonstrated distortion of the endometrial cavity consistent with a leiomyoma or large polyp. Saline infusion sonography was performed. The mass was 4 cm, submucosal not intracavitary. A laparotomy for myomectomy was performed yesterday. The mass was very difficult to dissect. Frozen section diagnosis was adenomyosis. An endometrial cavity was reconstructed as there was essentially no demonstrable endometrium on the anterior endometrial cavity. The uterus was closed in three layer. Any opinions on this patient's future fertility. Anyone have a similar case to share. John O'Shea, MD State College, PA Next message: Harrison Sheld: "Re: Adenomyoma" Previous message: Charlie Chambers: "Re: Image" Next in thread: Mark Perloe: "Re: Adenomyoma" Reply: Mark Perloe: "Re: Adenomyoma"

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