Question

30 year old woman with complaint of dysmenorrhoea, dyspareunia with chronic pelvic pain undergoes hysterectomy. From the cut section of hysterectomy specimen below identify the condition.

• A. Adenomyosis
• B. Fibroids
• C. Leiomyoma
• D. Endometriosis

Answer 1

The Correct Option is A

To solve the problem, we need to identify the condition of a 30-year-old woman who underwent a hysterectomy based on symptoms and the cut section of the specimen. The symptoms include dysmenorrhea, dyspareunia, and chronic pelvic pain. Let's examine each option to determine the correct answer:

• Adenomyosis: This condition is characterized by the presence of endometrial tissue within the myometrium. Common symptoms include dysmenorrhea, dyspareunia, and chronic pelvic pain, consistent with the woman's symptoms.
• Fibroids: These are benign tumors of the uterus that can also cause similar symptoms, but typically present as distinct masses on the cut section, not diffuse infiltration.
• Leiomyoma: Another term for fibroids, these are smooth muscle tumors, usually presenting as discrete nodules, not diffuse.
• Endometriosis: This involves endometrial tissue growing outside the uterus, potentially causing similar symptoms but would not be identified in a hysterectomy specimen cut section as it is outside the uterine wall.

The woman's symptoms and the presentation of the tissue in the hysterectomy specimen align most closely with adenomyosis, where the endometrial tissue invades the muscular wall of the uterus, causing pain and discomfort. Therefore, the condition is adenomyosis.