Question

How can you differentiate the uterus in adenomyosis and fibroids?

a) Adenomyosis causes an enlarged, globular uterus, while fibroids cause a small, firm uterus.
b) Adenomyosis causes multiple uterine fibroids, while fibroids are solitary masses.
c) Adenomyosis results in a soft, boggy uterus, while fibroids cause a uterus with irregular, firm nodules.
d) There is no significant difference in uterine appearance between the two conditions.

Answer 1

To differentiate adenomyosis from fibroids in the uterus, note that adenomyosis results in a soft, 'boggy' uterus, while fibroids present as a uterus with firm, irregular nodules.

Step-by-step explanation:

To differentiate the uterus in adenomyosis and fibroids, there are distinct pathological and physical characteristics to consider. For adenomyosis, the uterus typically presents as being enlarged and soft, with a characteristic feeling described as 'boggy.' In contrast, fibroids, which are also known as leiomyomas, lead to a uterus with irregular, firm nodules. These growths can distort the shape of the uterus but do not have the same overall enlarging and softening effect as adenomyosis.

Therefore, the correct answer to your question is 'c) Adenomyosis results in a soft, boggy uterus, while fibroids cause a uterus with irregular, firm nodules.' Adenomyosis involves the growth of endometrial glands into the uterine muscle, which can make the uterus feel softer. Fibroids are benign tumors derived from myometrial cells, which result in a firmer texture due to the development of nodules.