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 journalArticlepeer-review

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

Keywords

  • adenomyoma
  • diagnosis
  • leiomyoma
  • transvaginal ultrasonography

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynaecology

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