WOMENS-HEALTH Messages for October, 1999: Re: Diagnosis of Fibroids vs. Adenomyosis: Is this a common mistake?

Re: Diagnosis of Fibroids vs. Adenomyosis: Is this a common mistake?

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sat, 30 Oct 1999 23:14:34 -0500 (CDT)

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In reply to: Tracy: "Diagnosis of Fibroids vs. Adenomyosis: Is this a common mistake?"

At Fri, 29 Oct 1999, Tracy wrote: >
>Fibroids are fairly easy to diagnosis with bimanual pelvic exam and
>confirm with x-rays such as MRI's, however according to literature it is
>more difficult to diagnosis adenomyosis except with biopsy and
>pathology. Is it common for a diagnosis of leiomyomas to be given and
>surgically treated by hysterectomy, only to have the pathology report
>indicate that there were no leiomyomas identified and only focal areas
>of adenomyosis?

I'm not aware of any study from pathology that compares the admitting diagnosis and discharage diagnosis. Leiomyomata are rather classic in appearance but may obscure the visualization of the myometrium in its entirety, thereby obscuring adenomyosis appearing myometrium.

>I haven't been able to find this area discussed in depth
>and curious to know if it is a common problem.

I don't believe it is common but certainly can happen.

>Also, the initial
>diagnosis of fibroids was based only on the symptom of right hip pain
>after a MRI indicated that there was a fibroid in the lower uterine
>segment. The fibroids were also treated with two injections of
>DepoLupron to help reduce their size, which was estimated at 10-12
>weeks. Thank you for your input and expertise.
>
>--
>Tracy Martin RNC
>

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

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In reply to: Tracy: "Diagnosis of Fibroids vs. Adenomyosis: Is this a common mistake?"

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