Chapter 15 Endometriosis and Adenomyosis

Question 1

adenomyosis is

Answer 1

extension of endometrial tissue into uterine myometrium.

Question 2

cause of adenomyosis

Answer 2

high levels of estrogen stimulate hyperplasia of basalis layer of endometrium. barrier between endometrium and myometrium is broken and endometrial cells then invade the myometrium.

Question 3

adenomyosis causes uterus to become

Answer 3

diffusely enlarged and globular due to hypertrophy and hyperplasia of myometrium adjacent to ectopic endometrial tissue.

Question 4

endometrial tissue in adenomyosis estends from the ___ layer of endometrium

Answer 4

basalis it oes not undergo proliferative and secretory changes traditionally seen in normally located endometrium / in endometriosis.

Question 5

endometriosis contains both ___ and ___ endometrial tissue.

Answer 5

glandular and stromal.

Question 6

about ___ of pts with adenomyosis also have endometriosis

Answer 6

15-20%

Question 7

50-60% of pts with adenomyosis also have

Answer 7

uterine fibroids.

Question 8

what is most accurate imaging tool for adenomyosis?

Answer 8

MRI

Question 9

___ should be performed to rule out concomitant endometrial hyperplasia and cancer in women >45 before a hysterectomy is performed for adenomyosis.

Answer 9

endometrial biopsy.

Question 10

minimal symptoms of adenomyosis may be treated with

Answer 10

analgesics, nsaids, ocps, or progestins, although adenomyosis is less responsive to hormonal management than endometriosis.

Question 11

Levonorgestrel containing IUD is most effective temporary means of treating symptoms of adenomyosis.

Answer 11

true