A Systematic Review of Tissue Sampling Techniques for the Diagnosis of Adenomyosis

ConclusionDue to the heterogeneity of the tissue sampling techniques, diverse patient populations, and significant conflicting recommendations, no conclusive recommendation on the optimal tissue sampling technique can be made. However, it is of the authors opinion that it would be reasonable to limit uterine tissue sampling for confirmatory diagnosis of adenomyosis in those patients with a suspicion of adenomyosis based on both symptom profile and pelvic ultrasound, where a planned diagnostic laparoscopy for either infertility or pelvic pain has already been contemplated and scheduled, and where the confirmatory results may be of clinical benefit in discussing the prognosis of post-operative recurrent symptoms and guide any future treatment recommendations.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research