**7. Treatment**

*Endometriosis*

**6.2 MRI**

**6.3 CA-125**

hysterectomy.

**6.4 Histological examination**

focal adenomyosis as discrete hypoechoic nodules that may be differentiated from leiomyoma by poorly defined margins, and (5) myometrial hyperplasia. Threedimensional transvaginal ultrasonography can improve the diagnostic accuracy with variable ranges of sensitivity between 70 and 93% and specificity between 86

MRI has been shown to be highly accurate in the diagnosis of adenomyosis. It can differentiate between adenomyosis and the fibroids. MR imaging may be complimentary (**Figure 3**). The main MRI criterion for diagnosing adenomyosis is by detection of high-intensity tiny myometrial cysts in the inner myometrium, irregularity, and asymmetric junctional zone. MRI can distinguish the subtypes of

There are studies find the levels of the ovarian epithelial tumor antigen CA-125

The gold standard for the diagnosis of adenomyosis is histological examination. The diagnosis is usually based on histologic findings in surgical specimens after

patients with adenomyosis might be high. After the therapy, it might decrease.

and 93% for diagnosing adenomyosis by TVUS [16].

adenomyosis: diffuse and solid or cystic adenomyoma.

**76**

**Figure 3.**

*MRI of adenomyosis.*

The treatment of adenomyosis depends on the patient's age, symptoms, and desire for fertility.
