Adenomyosis

*Def:
Adenomyosis is condition characterized by the presence of ectopic endometrial tissue  within the myometrium..
The condition is typically found in women between the ages of 35 and 50..
The disease coexist with uterine  fibromyoma and endomdtrial carcinoma.

*Grossly :
 uterus appears symmetricaly enlarged to not more than 14 weeks size.
*Cut section :it shows only localized nodular enlargement . The affected areas reveals peculiar ..diffuse.. Striated and non capsulated involvement of myometrium ..with tiny dark haemorrhagic areas interspersed in between .

*Histological examination :
reveals island of endomdtrial gland surrounded by stroma

*Clinical examination
symmetrical enlargement of uterus he the adenomyosis gigs diffuse and the uterus is tender.
Painful symmetrical enlargement of uterus should suggest the correct diagnosis.
Treatment:
NSAIDS& hormonal suppression for symptomatic relief, withhysterectomythe only permanent cure option.