Soonchunhyang Med Sci.  2019 Jun;25(1):28-33. 10.0000/sms.2019.25.1.28.

Clinical Characteristics Indicating Uterine Leiomyoma, Adenomyosis, and Uterine Leiomyoma Coexisting with Adenomyosis: Retrospective Study

Affiliations
  • 1Department of Obstetrics and Gynecology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea. guardc@schmc.ac.kr

Abstract


OBJECTIVE
This study is to compare the baseline characteristics and symptoms between groups with leiomyoma only (group M; myoma group), adenomyosis only (group A; adenomyosis group), and leiomyoma and adenomyosis together (group B; group for both disease).
METHODS
Selected patients were who received total abdominal hysterectomy, laparoscopy-assisted vaginal hysterectomy, or total laparoscopic hysterectomy from January 2014 to December 2015, and whose pathology result showed leiomyoma (n=74), adenomyosis (n=27), or both (n=63). Baseline characteristics and symptoms were reviewed from the medical records. Researched characteristics included patients' age, degeneration of leiomyoma, endometrial hyperplasia, endometriosis, weight of the removed uterus, menopause before the surgery, method of the surgery, necessity for blood transfusion before and after the surgery, difference of hemoglobin level before and after the surgery, and number of gravida, para, and abortion.
RESULTS
Eleven symptoms were checked. Thirty-eight point four percent of total subject had uterine leiomyoma and adenomyosis at the same time. Number of abortion was higher in the group B. The group B showed a tendency of presenting more menorrhagia, dysfunctional uterine bleeding, acute lower abdominal pain, and urinary frequency. Symptoms related to mass effect seem to be relative to uterine leiomyoma, and symptoms related to menorrhagia seems to be relative to adenomyosis. The group M showed suddenly growing mass symptoms, and was more likely to have massive hemorrhage during the surgery. It is hard to differentiate coexistence of uterine leiomyoma and adenomyosis from each disease.
CONCLUSION
Coexistence of two disease exhibits mixed symptoms of each disease, but shows different tendency.

Keyword

Adenomyosis; Leiomyoma; Hysterectomy

MeSH Terms

Abdominal Pain
Adenomyosis*
Blood Transfusion
Endometrial Hyperplasia
Endometriosis
Female
Hemorrhage
Humans
Hysterectomy
Hysterectomy, Vaginal
Leiomyoma*
Medical Records
Menopause
Menorrhagia
Methods
Metrorrhagia
Myoma
Pathology
Retrospective Studies*
Uterus
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