Adenomyosis uteri: a prospective study in Trinidad & Tobago, January-May, 1986

ABSTRACT

A prospective study of the incidence of adenomyosis uteri encountered in 200 consecutive hysterectomies and 21 consective myomectomies was conducted at the Port-of-Sapin General Hospital during the period January to May, 1986. The observed incidence of adenomyosis was 47%. Adenomyosis uteri was commonest amongst the most highly fertile group of women, namely the East Indian group. There was no case of adenomyosis uteri amongst the Caucasians in this study. Adenomyosis uteri was seen most often in women in their fifth decade of life; 62.8% of the patients had menorrhagia and or dysmenorrhea. The average dimension of the corpus uteri with classical adenomyosis uteri was 10 x 8 x 4 cm which corresponded to a uterus of 8 - 10 week sixe gestation. Basal and proliferative glands were seen in 53.9% of the adenomyotic foci. Hyperoestrogenic lesions had a 53.9% association with adenimyosis uteri which was diagnosed in only 4.8% of cases pre-operatively