MRI image of adenomyosis.

Adenomyosis MRI Image (Case courtesy of Dr. Varun Babu, Radiopaedia.org, rID: 43504)

“The most easily recognized feature is a thickening of the junctional zone ≥12 mm, either diffusely or focally (normal junctional zone thickness is up to ~5 mm)”. (1)

(1) Gaillard F, Thibodeau R, Liao A, et al. Adenomyosis. Reference article, Radiopaedia.org (Accessed on 17 May 2024). https://doi.org/10.53347/rID-10171.

Ultrasound image of adenomyosis. 

Adenomyosis Ultrasound Image (Case courtesy of Dr. Alexandra Stanislavsky, Radiopaedia.org, rID: 13726)

“MUSA features typical of a uterus with adenomyosis include an enlarged globular uterus, asymmetrical thickening of the myometrium, myometrial cysts, echogenic subendometrial lines and buds, hyperechogenic islands, fan-shaped shadowing, an irregular or interrupted junctional zone and translesional vascularity on colour Doppler ultrasound examination.”(1)

(1) Van den Bosch, T., de Bruijn, A.M., de Leeuw, R.A., Dueholm, M., Exacoustos, C., Valentin, L., Bourne, T., Timmerman, D. and Huirne, J.A.F. (2019), Sonographic classification and reporting system for diagnosing adenomyosis. Ultrasound Obstet Gynecol, 53: 576-582. https://doi.org/10.1002/uog.19096 

Microscopic endometrial stroma and glands present deep within the myometrium. (Courtesy of Dr. I. Zberiranowski)

Low-grade squamous intra-epithelial lesion stained with acetic acid. (Courtesy of Dr. G. Likrish)

Invasive cervical cancer. (Courtesy of Dr. G. Likrish)

Condyloma Acuminate (“Genital Warts”)
Soft cauliflower-like, skin-coloured masses in clusters; associated with human papilloma virus (HPV). (Courtesy Dr. S. Kives)

View of the cervix. Range from pinhead to papules. (Courtesy of Dr. W. Chapman)

Eversion of cervical canal, with columnar epithelium farther outside the external os of the cervix. (Courtesy of Dr. G. Likrish)

Cystic mass on ovary arising from ectopic endometrial tissue. Commonly referred to as a “chocolate cyst”.

Laparoscopic Image of an Ovarian Cyst
(Courtesy of Dr. S. Kives and Dr. R. Spitzer)

Laparoscopic Image of Multiple Fibroids
Note multiple sub-serosal fibroids.

Laparoscopic Image of Normal Female Anatomy
Note the uterus (left) and the ovary (right). (Courtesy of Dr. S. Kives and Dr. R. Spitzer)

Laparoscopic Image of Endometriosis
Note brownish-black “powder burn” implants. (Courtesy of Dr. S. Kives and Dr. R. Spitzer)

Uterus with multiple leiomyomas. (Courtesy of Dr. I. Zberiranowski)

Microscopic view of proliferative smooth muscle cells. (Courtesy of Dr. I. Zberiranowski)

Note classic hour glass or figure 8 vulvular and perianal distribution. (Courtesy of Dr. S. Kives and Dr. R. Spitzer)

Cystic Teratoma
Gross appearance of an ovary with a mature cystic teratoma. (Courtesy of Dr. I. Zberiranowski)