MORPHOLOGICAL FEATURES OF ADENOMYOSIS IN WOMEN OF REPRODUCTIVE AGE HAVING A COMBINED PATHOLOGY OF UTERUS

Introduction. Increased attention to the problem of endometriosis from the side of doctors and investigators is due not only to a steady increase of this pathology but also to its communications with benign uterine tumors. The endometriosis and uterine myoma are the most common gynecological diseases in women of reproductive age.

The aim of the study is a retrospective study of the incidence of endometriosis in women with a combined pathology of uterine fibroids and adenomyosis.

Materials and methods. Based on the gynecological department of the Hospital, archive material was studied. There were selected the morphological samples which were obtained in the course of 108 hysterectomies.

Results of research. Of 108 hysterectomies the adenomyosis was detected in 48 patients aged 33 to 62 years and averaged 44.44%. We selected a group of patients under 47 years old. Adenomyosis in this age group was 25, which was 52.08%. The incidence of adenomyosis and leiomyoma combination was 20% in 20 cases, which was 80%. Among the forms of lesion, the diffuse focal 9 cases (36%) prevailed, focal 7 (28%), and diffuse 6 (24%).

Conclusions. The problem of adenomyosis will repeatedly cause us to return to this topic. The presentation of adenomyosis with nodal morphometry formulates the question of the mutual influence of these processes, and perhaps makes us consider adenomyosis as A provocative factor in the development of leiomyoma.