Page 66 - ESHRE2019
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       1. Smooth muscle hyperplasia with ectopic endometrium (junctional zone)
2. Micro‐dilated ectopic endometrial glands throughout hyperplastic myometrium
 Diffuse adenomyosis
Focal adenomyosis
Polypoid adenomyosis
Special categories
1. Adenomyomas
2. Cystic adult adenomyosis
2a. Juvenile cystic adenomyosis
1. Typical polypoid adenomyomas 2. Atypical polypoid adenomyomas
1. Adenomyomas of endocervical type 2. Retroperitoneal adenomyosis
or rectovaginal endometriosis
     Grimbizis et al, Fertil Steril, , 2013
                 Bird et al. 1972 AJOG
 Levgur et al 2000 Obst & Gynec
 Kishi et al.: 2012 AJOG
 Gordts et al. 2008 RBMonline
 Pistofidis 2014 Clin Exp Obstet Gynecol
   Grimbizis 2014 Fertil Steril
Grade I: subbasal endometrium Grade II: mid myometrium
Grade III: behind mid myometrium
Superficial: < 40% uterine wall Intermediate: depth between 40‐80% Deep: > 80% uterine thickness
Intrinsic: inner uterine layer
Extrinsic: outer uterine layer (JZ normal) Intramural: solitary adenomyosis Indeterminate
JZ hyperplasia: 8‐12mm Adenomyosis: > 12 mm adenomyoma
Diffuse, sclerotic, nodular, cystic
Diffuse, focal, polypoid, special
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