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Re: Adenomyoma/Adenomyosis From: art fougner, md (evsono@pipeline.com) Mon Jun 19 08:53:53 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Rupak Ranjan Roy: "Re: Septated ovarian cyst" Previous message: art fougner, md: "Re: Now we get sued over undiagnosed nuchal cords...." In reply to: Joanne Bulley, MD: "Adenomyoma/Adenomyosis" Next in thread: Joanne Bulley, MD: "Re: 4th degree tear/reconstruction" suspected adenomyosis and planned myomectomy may be one of the few indications for mri of uterus. mri is the single best noninvasive diagnostic test to differentiate between fibroids and this disorder. also, despite its expense, usually cheaper than lupron. art At Sat, 17 Jun 2000, Joanne Bulley, MD wrote: > >My experience with adenomyosis - is in patients with no disease by L/S >who gets Lupron as an empiric treatment, or the patient with >endometriosis that is resected followed by Lupron - if the pain returns >shortly after the end of the Lupron (usually within 1-3 cycles) - then >the path on the uterus is adenomyosis. > >So ... recurrence of symptoms soon after Lupron is indicative of >adenomyosis. I would expect an adenomyoma to behave the same, >biologically. > >Joanne > >At Sat, 17 Jun 2000, Harrison Sheld wrote: >> >>In my experience (N=1) Lupron does not affect adenomyomas. The one case I had, >>the patient had multiple myomas which shrank over a period of 6 months but then >>the uterus grew and grew and grew. (We were using Premarin 0.625 add back). At >>LAVH she had a large posterior wall adenomyoma. May be just coincidence. > >-- >Joanne Bulley, MD >Keene, NH, USA > -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: Rupak Ranjan Roy: "Re: Septated ovarian cyst" Previous message: art fougner, md: "Re: Now we get sued over undiagnosed nuchal cords...." In reply to: Joanne Bulley, MD: "Adenomyoma/Adenomyosis" Next in thread: Joanne Bulley, MD: "Re: 4th degree tear/reconstruction"

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