Adenomyosis in Adolescence

In: Endometriosis in Adolescents · 2020 · pp. 289–298 · doi:10.1007/978-3-030-52984-0_13 · W3101694191
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Adenomyosis, particularly cystic adenomyosis, can occur in adolescents presenting with severe dysmenorrhea and chronic pelvic pain, with imaging advances improving diagnosis.

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This chapter reviews adenomyosis presentation in adolescents, focusing on the observation that adenomyosis is usually considered an adult condition but is rarely encountered in young girls, particularly when severe dysmenorrhea and chronic pelvic pain are present. It highlights “cystic adenomyosis” as an adolescent-specific variant characterized by cystic myometrial formations with hemorrhagic content resembling endometriotic cysts, and notes that advances in imaging and growing awareness have enabled studies of pathophysiology and diagnostic implications in younger patients. A stated limitation is that the literature is largely based on emerging reports rather than established evidence, given the rarity of the condition in this age group. This paper is centrally about endometriosis in adolescents—specifically, it discusses adenomyosis in adolescence and emphasizes cystic adenomyosis’s histologic resemblance to endometriotic cysts and related diagnostic considerations.

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Abstract

Adenomyosis has generally been considered as a disease of adult life; however, it is rarely encountered in young girls, especially when severe dysmenorrhea and chronic pelvic pain are present. The variant of adenomyosis that is specific to adolescent women is the so-called cystic adenomyosis which represent cystic formations within the myometrium with hemorrhagic content resembling that of an endometriotic cyst. Recent advances in imaging techniques and improved awareness of the disease led to the emergence of several articles investigating the pathophysiology and implications on diagnosis of adenomyosis in younger patients. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

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Nezhat C, Nezhat F. A simplified method of laparoscopic presacral neurectomy for the treatment of central pelvic pain due to endometriosis. Br J Obstet Gynaecol. 1992;99:659–63. Nezhat CH, Seidman DS, Nezhat FR, Nezhat CR. Long-term outcome of laparoscopic presacral neurectomy for the treatment of central pelvic pain attributed to endometriosis. Obstet Gynecol. 1998;91:701–4. Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 2020 Springer Nature Switzerland AG About this chapter Cite this chapter Koukoura, O., Pistofidis, G. (2020). Adenomyosis in Adolescence. In: Nezhat, C.H. (eds) Endometriosis in Adolescents. Springer, Cham. https://doi.org/10.1007/978-3-030-52984-0_13 Download citation DOI: https://doi.org/10.1007/978-3-030-52984-0_13 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-030-52983-3 Online ISBN: 978-3-030-52984-0 eBook Packages: MedicineMedicine (R0)

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