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Re: adenomyosis and US From: art fougner, md (evsono@pipeline.com) Tue Feb 13 09:44:42 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Medical school enrollment projected to increase by 17 percent" Previous message: Elrod, Darryl G Maj 48 MDOS/SGOBO: "Re: Burch/Abdominal colposacropexy" In reply to: Joanne Bulley, MD: "adenomyosis and US" Next in thread: Richard Chudacoff, MD: "Re: adenomyosis and US" The answer is that adenomyosis can be suspected by a heterogeneous appearance of the uterine wall without encapsulated nodules. It's doubtless more common than previously suspected. MRI is highly recommended if myomectomy is contemplated. Some literature exists on sono-directed needle biopsy of myometrial lesions to confirm the diagnosis. I hope this helps. Art At Tue, 13 Feb 2007, Joanne Bulley, MD wrote: > >I have a patient who had another gyn say she had adenomyosis by >ultrasound findings. She does not have any pain with intercourse. >Menses controlled by OCPs. Moved to California. Has never been had any >time without insurance. > >She applied for California BC BS (has a NH Athem BC policy) - and they >denied to even write a policy because of the diagnosis of adenomyosis! >(so much for the access to and portability of insurance!) > >Have I lost touch with US diagnoses - I have always been of the opinion >that adneomysis can not be diagnosed by US - and although MRI can - it >is not a foolproof diagnosis there either. > >Any comments? > >-- >Joanne Bulley, MD, FACOG >Solo gyn >Keene, NH USA > -- art fougner, md "May The Wings of Liberty Never Lose a Feather." - Jack Burton Next message: art fougner, md: "Re: Medical school enrollment projected to increase by 17 percent" Previous message: Elrod, Darryl G Maj 48 MDOS/SGOBO: "Re: Burch/Abdominal colposacropexy" In reply to: Joanne Bulley, MD: "adenomyosis and US" Next in thread: Richard Chudacoff, MD: "Re: adenomyosis and US"

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