UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 子宮腺筋症 uterine adenomyosis
2. 女性における慢性骨盤痛の原因 causes of chronic pelvic pain in women
3. 子宮平滑筋腫（子宮筋腫）の疫学、臨床症状、診断、および自然経過 epidemiology clinical manifestations diagnosis and natural history of uterine leiomyomas fibroids
4. 子宮筋腫塞栓術 uterine leiomyoma fibroid embolization
5. 子宮筋腫と子宮肉腫の識別 differentiating uterine leiomyomas fibroids from uterine sarcomas

English Journal

Detection and localization of deep endometriosis by means of MRI and correlation with the ENZIAN score.

Di Paola V1, Manfredi R2, Castelli F2, Negrelli R2, Mehrabi S2, Pozzi Mucelli R2.
European journal of radiology.Eur J Radiol.2015 Apr;84(4):568-74. doi: 10.1016/j.ejrad.2014.12.017. Epub 2015 Jan 12.
PURPOSE: To determine the accuracy of ENZIAN score, as detected on MR imaging, compared to surgical-pathologic findings.MATERIALS AND METHODS: This retrospective study was approved by the investigational review board and the requirement for informed patient consent was waived. 115 patients were incl
PMID 25604906

Effects of levonorgestrel-releasing intrauterine system on lymphangiogenesis of adenomyosis.

Cho S1, Choi YS2, Yun BH3, Chon SJ3, Jung YS3, Kim HY4, Park JH1, Seo SK2, Kim SH5, Lee BS6.
American journal of clinical pathology.Am J Clin Pathol.2015 Mar;143(3):352-61. doi: 10.1309/AJCPP8F4SFYFVXRN.
OBJECTIVES: Lymphangiogenesis may be involved in the pathogenesis of adenomyosis. We investigated the lymphatic vessels of patients with adenomyosis, including those treated with levonorgestrel-releasing intrauterine system (LNG-IUS).METHODS: Full-thickness uterine samples were obtained from patient
PMID 25696793

Use of other treatments before hysterectomy for benign conditions in a statewide hospital collaborative.

Corona LE1, Swenson CW2, Sheetz KH3, Shelby G3, Berger MB2, Pearlman MD2, Campbell DA Jr3, DeLancey JO2, Morgan DM2.
American journal of obstetrics and gynecology.Am J Obstet Gynecol.2015 Mar;212(3):304.e1-7. doi: 10.1016/j.ajog.2014.11.031. Epub 2014 Dec 23.
OBJECTIVE: We sought to analyze use of alternative treatments and pathology among women who underwent hysterectomy in the Michigan Surgical Quality Collaborative.STUDY DESIGN: Perioperative hysterectomy data including demographics, preoperative alternative treatments, and pathology results were anal
PMID 25542564

高松士朗,松原慕慶,大沼利通,辻隆博,田嶋公久,島田逸人
日本産科婦人科内視鏡学会雑誌 30(1), 169-176, 2014
… Objective: To investigate the feasibility of a total laparoscopic hysterectomy (TLH) for large uteri weighting over 500 g.Design: Retrospective analysis.Setting: Department of Obstetrics and Gynecology, Fukui Red Cross Hospital, Japan.Patients: A total of 156 women who underwent a TLH from 2009 through 2014 for symptomatic uterine leiomyomas and/or adenomyosis at our institution were divided into two groups based on uterine weight: > …
NAID 130004960103

子宮筋腫	30歳代の女性で過多月経をきたし、内診で硬く腫大した子宮を触れ、超音波で子宮体部に充実性の腫瘤を認める。MRI T2では境界明瞭な低信号を認め、JZは保たれる。
子宮腺筋症	過多月経をきたし、内診ではびまん性に腫大した弾性の子宮を触知。エコーでは子宮筋層の肥厚。MRI T2では境界不明瞭な低信号域(筋層)の中に半流動性の出血を反映する点状の高信号を認め、JZは不明瞭化する。
子宮体癌	中年～高齢女性。子宮内膜(高信号)の増殖、肥厚が見られる。境界明瞭な腫瘤ではない。MRI T2ではJZが断裂している。
子宮頚癌	子宮体部は腫大しない。