Adenomyosis is a singular disease whose diagnosis frequently eludes the physician. In spite of the fact that it causes distressing and often serious functional distubances requiring major operation for correction, many physicians, even
gynecologists,
tend to neglect the possibilty of this entity Adenomyosis was encountered in 199 cases or 25.5% of the surgically removed uteri from women who had been admitted to Sanggye Paik Hospital from Sep. 1, 1989, to Dec. 31, 1992.
The peak incidence was in the fifth decade (51.8%), in late reprod7uctive life or early menopausal years.
Of the 1991 patients, 186 (93.5%) were parous and 13 (6.5%) were nulliparous.
Menorrhagia, metrorrhagia, pelvic pain, lumbago, and dysmenorrhea were common symptoms in this study and 17 patients (8.6%) had no symptoms.
In comparing uterine weight in those cases with and without associated myomay. We find the distribution is similar in both groups except for a larger number of uteri in the "under 120gms without myoma" category.
Preoperative diagnosis of the adenomyosis was possible in only 3.5% Leiomyoma was the most common associated disease with adenomyosis and the incindence was 39.7%.
Proliferative phase of the endometrium was the most frequent endometrial findings, an incidence of 51.8%, and the secretory phase. 29.1%.
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