| An update on adenomyosis in the adolescent. | |
| | |
MedLine Citation:
|
PMID: 20613517 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE OF REVIEW: Limited evidence is available on the diagnosis and management of adenomyosis in adolescents. This review highlights the postulated pathophysiologic mechanisms, the prevalence of the condition among adult women and new reports of adenomyosis or adenomyotic cysts occurring in adolescents. Diagnostic criteria as well as treatment options are discussed. RECENT FINDINGS: Very few cases of adenomyosis conditions are reported in the literature, and management schemes differed with regard to medical versus surgical approaches. It is clear from reports in adolescents presenting with severe refractory dysmenorrhea that MRI can help establish a diagnosis of adenomyosis, possibly avoiding or delaying surgery to allow for medical management in some cases. SUMMARY: Adenomyosis may be present during adolescence. Because mechanisms of disease appear to be similar, goals of treatment in the adolescent are toward fertility preservation. Medical management appears to be a good option for certain types of adenomyosis, although surgery may be appropriate in the case of well circumscribed adenomyotic cysts, adenomyomas or noncommunicating horns. |
| | |
Authors:
|
Jennifer E Dietrich |
Related Documents
:
|
8024507 - Beckwith-wiedemann syndrome: antenatal diagnosis. 18524647 - Phlegmasia cerulea dolens of the lower extremities secondary to thrombosis of an inferi... 11142587 - Isolated intestinal neurofibromatosis of colon. single case report and review of the li... 10720987 - Tinea incognito due to microsporum gypseum in three children. 10581917 - Suicide by drowning in the bath. 14675467 - Kiwi fruit allergy: a review. |
Publication Detail:
|
Type: Journal Article; Review |
Journal Detail:
|
Title: Current opinion in obstetrics & gynecology Volume: 22 ISSN: 1473-656X ISO Abbreviation: Curr. Opin. Obstet. Gynecol. Publication Date: 2010 Oct |
Date Detail:
|
Created Date: 2010-09-02 Completed Date: 2011-01-06 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9007264 Medline TA: Curr Opin Obstet Gynecol Country: England |
Other Details:
|
Languages: eng Pagination: 388-92 Citation Subset: IM |
Affiliation:
|
Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX 77030, USA. jedietri@bcm.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Aromatase Inhibitors / therapeutic use Contraceptives, Oral, Combined / therapeutic use Endometriosis / diagnosis*, drug therapy, physiopathology* Female Humans Magnetic Resonance Imaging |
| Chemical | |
Reg. No./Substance:
|
0/Aromatase Inhibitors; 0/Contraceptives, Oral, Combined |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Update on muscle-specific tyrosine kinase antibody positive myasthenia gravis.
Next Document: Issues in cervical cancer incidence and treatment in HIV.