Transvaginal ultrasonography in the differential diagnosis of adenomyoma versus leiomyoma

L. Fedele, S. Bianchi, M. Dorta, F. Zanotti, D. Brioschi, S. Carinelli

Research output: Contribution to journalArticle

90 Citations (Scopus)

Abstract

Objective: We evaluated the reliability of transvaginal ultrasonography in the differential diagnosis of adenomyoma versus leiomyoma. Study design: Preoperative transvaginal ultrasonographic results were compared with postoperative pathologic findings in 405 women who underwent surgery for symptomatic uterine nodularity. Results: For adenomyoma diagnosis, transvaginal ultrasonography demonstrated a sensitivity of 87%, a specificity of 98%, a positive predictive value of 74.1%, and a negative predictive value of 98.6%, compared with a sensitivity of 96.1%, a specificity of 83.3%, a positive predictive value of 98.4%, and negative predictive value of 35.7% for leiomyoma diagnosis. Conclusion: Transvaginal ultrasonography is an effective, noninvasive, and relatively inexpensive procedure for the preoperative differential diagnosis of adenomyoma versus leiomyoma.

Original languageEnglish
Pages (from-to)603-606
Number of pages4
JournalAmerican Journal of Obstetrics and Gynecology
Volume167
Issue number3
Publication statusPublished - 1992

Fingerprint

Adenomyoma
Leiomyoma
Ultrasonography
Differential Diagnosis
Preoperative Care

Keywords

  • adenomyoma
  • diagnosis
  • leiomyoma
  • transvaginal ultrasonography

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynaecology

Cite this

Fedele, L., Bianchi, S., Dorta, M., Zanotti, F., Brioschi, D., & Carinelli, S. (1992). Transvaginal ultrasonography in the differential diagnosis of adenomyoma versus leiomyoma. American Journal of Obstetrics and Gynecology, 167(3), 603-606.

Transvaginal ultrasonography in the differential diagnosis of adenomyoma versus leiomyoma. / Fedele, L.; Bianchi, S.; Dorta, M.; Zanotti, F.; Brioschi, D.; Carinelli, S.

In: American Journal of Obstetrics and Gynecology, Vol. 167, No. 3, 1992, p. 603-606.

Research output: Contribution to journalArticle

Fedele, L, Bianchi, S, Dorta, M, Zanotti, F, Brioschi, D & Carinelli, S 1992, 'Transvaginal ultrasonography in the differential diagnosis of adenomyoma versus leiomyoma', American Journal of Obstetrics and Gynecology, vol. 167, no. 3, pp. 603-606.
Fedele, L. ; Bianchi, S. ; Dorta, M. ; Zanotti, F. ; Brioschi, D. ; Carinelli, S. / Transvaginal ultrasonography in the differential diagnosis of adenomyoma versus leiomyoma. In: American Journal of Obstetrics and Gynecology. 1992 ; Vol. 167, No. 3. pp. 603-606.
@article{c995cf7f4f58481481bb0b733a361dd8,
title = "Transvaginal ultrasonography in the differential diagnosis of adenomyoma versus leiomyoma",
abstract = "Objective: We evaluated the reliability of transvaginal ultrasonography in the differential diagnosis of adenomyoma versus leiomyoma. Study design: Preoperative transvaginal ultrasonographic results were compared with postoperative pathologic findings in 405 women who underwent surgery for symptomatic uterine nodularity. Results: For adenomyoma diagnosis, transvaginal ultrasonography demonstrated a sensitivity of 87{\%}, a specificity of 98{\%}, a positive predictive value of 74.1{\%}, and a negative predictive value of 98.6{\%}, compared with a sensitivity of 96.1{\%}, a specificity of 83.3{\%}, a positive predictive value of 98.4{\%}, and negative predictive value of 35.7{\%} for leiomyoma diagnosis. Conclusion: Transvaginal ultrasonography is an effective, noninvasive, and relatively inexpensive procedure for the preoperative differential diagnosis of adenomyoma versus leiomyoma.",
keywords = "adenomyoma, diagnosis, leiomyoma, transvaginal ultrasonography",
author = "L. Fedele and S. Bianchi and M. Dorta and F. Zanotti and D. Brioschi and S. Carinelli",
year = "1992",
language = "English",
volume = "167",
pages = "603--606",
journal = "American Journal of Obstetrics and Gynecology",
issn = "0002-9378",
publisher = "Mosby Inc.",
number = "3",

}

TY - JOUR

T1 - Transvaginal ultrasonography in the differential diagnosis of adenomyoma versus leiomyoma

AU - Fedele, L.

AU - Bianchi, S.

AU - Dorta, M.

AU - Zanotti, F.

AU - Brioschi, D.

AU - Carinelli, S.

PY - 1992

Y1 - 1992

N2 - Objective: We evaluated the reliability of transvaginal ultrasonography in the differential diagnosis of adenomyoma versus leiomyoma. Study design: Preoperative transvaginal ultrasonographic results were compared with postoperative pathologic findings in 405 women who underwent surgery for symptomatic uterine nodularity. Results: For adenomyoma diagnosis, transvaginal ultrasonography demonstrated a sensitivity of 87%, a specificity of 98%, a positive predictive value of 74.1%, and a negative predictive value of 98.6%, compared with a sensitivity of 96.1%, a specificity of 83.3%, a positive predictive value of 98.4%, and negative predictive value of 35.7% for leiomyoma diagnosis. Conclusion: Transvaginal ultrasonography is an effective, noninvasive, and relatively inexpensive procedure for the preoperative differential diagnosis of adenomyoma versus leiomyoma.

AB - Objective: We evaluated the reliability of transvaginal ultrasonography in the differential diagnosis of adenomyoma versus leiomyoma. Study design: Preoperative transvaginal ultrasonographic results were compared with postoperative pathologic findings in 405 women who underwent surgery for symptomatic uterine nodularity. Results: For adenomyoma diagnosis, transvaginal ultrasonography demonstrated a sensitivity of 87%, a specificity of 98%, a positive predictive value of 74.1%, and a negative predictive value of 98.6%, compared with a sensitivity of 96.1%, a specificity of 83.3%, a positive predictive value of 98.4%, and negative predictive value of 35.7% for leiomyoma diagnosis. Conclusion: Transvaginal ultrasonography is an effective, noninvasive, and relatively inexpensive procedure for the preoperative differential diagnosis of adenomyoma versus leiomyoma.

KW - adenomyoma

KW - diagnosis

KW - leiomyoma

KW - transvaginal ultrasonography

UR - http://www.scopus.com/inward/record.url?scp=0026787382&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026787382&partnerID=8YFLogxK

M3 - Article

VL - 167

SP - 603

EP - 606

JO - American Journal of Obstetrics and Gynecology

JF - American Journal of Obstetrics and Gynecology

SN - 0002-9378

IS - 3

ER -