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- W4242578985 abstract "Le diagnostic de l'adénomyose est histologique (grade A). L'adénomyose est fréquemment asymptomatique (grade C). L'adénomyose symptomatique est responsable de douleurs et de saignements (grade C). L'hystérographie n'a pas d'intérêt démontré dans l'arsenal diagnostique de l'adénomyose (grade C). L'échographie est sensible pour le diagnostic d'adénomyose et peut suffire à la stratégie thérapeutique (grade B). L'IRM est plus pertinente, mais n'a d'utilité démontrée qu'en cas de lésion associée (grade B). L'hystérectomie constitue le traitement de référence des patientes symptomatiques ne désirant plus d'enfant (grade B). Les traitements médicaux alternatifs reposent sur le stérilet au Lévonorgestrel, les analogues de la Gn-RH et les progestatifs antigonadotropes (grade C). L'embolisation utérine n'est pas recommandée (accord professionnel). Les traitements alternatifs chirurgicaux proposés sont les techniques de destruction endométriale uniquement en cas de ménorragies isolées (grade C). Diagnostic adenomyosis is done by pathologist (grade A). Adenomyosis is usually asymptomatic (grade C). Symptomatic adenomyosis gives pains and/or bleedings (grade C). Hysterosalpingography is not included in diagnostic strategy (grade B). Sonography has a good sensitivity and can be exclusively used for therapeutic strategy (grade B). MRI is pertinent but only useful in case of associated lesions (grade B). Hysterectomy is the gold standard for symptomatic patients without desire of pregnancy (grade B). Medical treatments are: IUD with levonorgestrel, Gn-RH analog, antigonadotrope progestin (grade C). Uterine artery embolisation is not recommended (professional agreement). Endometrial resection/destruction are indicated in case of menorraghia (grade C)." @default.
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- W4242578985 date "2007-04-01" @default.
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- W4242578985 title "Adénomyose" @default.
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- W4242578985 doi "https://doi.org/10.1016/j.jgyn.2006.12.011" @default.
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