Intravascular Involvement in Adenomyosis: An Endometriosis Dissemination Pathway?

  1. Marín Sánchez, Maria del Pilar 1
  2. Pérez Buendía, J 1
  3. Guijarro Campillo, A.R. 1
  4. Pérez Vidal, J.R. 1
  5. Ñiguez Sevilla, I. 1
  6. Iborra Lacal, E. 1
  7. Carrascosa Romero, M.C. 1
  8. Nieto Díaz, A. 1
  1. 1 Hospital Universitario Virgen de la Arrixaca (HUVA)
Journal:
International Journal of Surgical Case Reports

ISSN: 2674-4171

Year of publication: 2023

Volume: 5

Issue: 1

Pages: 1-3

Type: Article

DOI: 10.31487/J.IJSCR.2023.01.03 GOOGLE SCHOLAR lock_openOpen access editor

More publications in: International Journal of Surgical Case Reports

Sustainable development goals

info

SDG classification obtained using Aurora SDG artificial intelligence model.

Abstract

Intravascular adenomyosis is an entity described for years in the literature, but its clinical-pathologic correlation hasn´t been studied in detail. Objective: To study the prevalence of adenomyosis including intravascular involvement, as well as available literature review about this pathology. Material and Methods: A retrospective observational study has been conducted in our hospital analysing hysterectomies specimens from January to December 2020. Results: 447 hysterectomies specimens have been analysed, 68 with adenomyosis and just one with intravascular involvement. Conclusion: Intravascular involvement adenomyosis is a rare entity but with potential etiopathogenic consequence.

Bibliographic References

  • 1. Struble J, Reid S, Bedaiwy MA (2016) Adenomyosis: A Clinical Review of a Challenging Gynecologic Condition. J Minim Invasive Gynecol 23: 164-185.
  • 2. Benagiano G, Habiba M, Brosens I (2012) The pathophysiology of uterine adenomyosis: an update. Fertil Steril 98: 572-579.
  • 3. Enatsu A, Harada T, Yoshida S, Iwabe T, Terakawa N (2000) Adenomyosis in a patient with the Rokitansky-Kuster-Hauser syndrome. Fertil Steril 73: 862-863.
  • 4. Mehasseb MK, Bell SC, Brown L, Pringle JH, Habiba M (2011) Phenotypic characterisation of the inner and outer myometrium in normal and adenomyotic uteri. Gynecol Obstet Invest 71: 217-224.
  • 5. Parazzini F, Vercellini P, Panazza S, Chatenoud L, Oldani S et al. (1997) Risk factors for adenomyosis. Hum Reprod 12: 1275-1279.
  • 6. Meenakshi M, McCluggage WG (2010) Vascular involvement in adenomyosis: report of a large series of a common phenomenon with observations on the pathogenesis of adenomyosis. Int J Gynecol Pathol 29: 117-121.
  • 7. Di Donato N, Montanari G, Benfenati A, Leonardi D, Bertoldo V et al. (2014) Prevalence of adenomyosis in women undergoing surgery for endometriosis. Eur J Obstet Gynecol Reprod Biol 181: 289-293.
  • 8. Hirschowitz L, Mayall FG, Ganesan R, McCluggage WG (2013) Intravascular adenomyomatosis: expanding the morphologic spectrum of intravascular leiomyomatosis. Am J Surg Pathol 37: 1395-1400.