Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Gynecology and Obstetrics

The aim of this prospective cohort study is to correlate the JZ detectable on 2D and 3D TVS with histopathological finding of the adenomyosis and to evaluate their diagnostic accuracy for adenomyosis. One hundred (100) premenapausal women aged above forty with dysfunctional uterine bleeding and candidate for hysterectomy after failed medical treatment in the form of hemostatics and hormonal treatment in the form of cyclic progesterone for three to six cycles. Premenpausal women aged above forty are included in this study but patient with ovarian pathology (cyst, tumour), fibroid uterus, endometrial polyp, or menpausal women are excluded from this study. They were subjected to verbal consent, full history taking, clinical examination, ultrasound assessment. Our study found that junctional zone detected by 3D ultrasound and its measurments (max, min, diff) can help in diagnosis of adenomyosis. The junction zone diff and its alteration is important ultrasound finding for prediction of adenomyosis

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