Role of Gross Examination of the specimen and ultrasound in Uterine Adenomyosis: Case series with review of literature

Abstract

Background. In times, Adenomyosis cannot be diagnosed accurately and differentiated from leiomyoma before histological assessment in a hysterectomy specimen. it can be suspected by gross pictures. Aim. We aim to provide an assistance to pathological examination, proposing a role of ultrasound and gross examination of the specimen to be helpful. Case presentation. We presented different cases with adenomyosis with different gross pathologies as trabeculation on external surface, small myometrial cysts, polypodial adenomyosis and diffuse adenomyosis. Conclusions. Adenomyosis cannot be diagnosed accurately before the pathological assessment of the uterus. It could be suspected from gross pathologies and ultrasound findings.