Riassunto
Le malformazioni dell’utero sono associate a elevata incidenza di alterazioni della fertilità e problemi ostetrici. L’incidenza e la prevalenza di tali malformazioni variano molto, dallo 0,16 al 10% [1], dipendendo sia dalle modalità di imaging sia dai sistemi di classificazione utilizzati. In donne valutate con ecografia per indicazioni non ostetriche l’incidenza delle malformazioni dell’utero è risultata pari allo 0,4%, mentre in donne valutate con isterosalpingografia (HSG) per indicazioni ostetriche l’incidenza è risultata pari all’8–10% [2]. Le tappe organogenetiche sono condizionate da stimoli ormonali e da fattori ambientali locali (tossici, infettivi, carenziali, iatrogeni), che possono alterare lo sviluppo dell’apparato genitale femminile.
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Bibliografia
Olpin JD, Heilbrun M (2009) Imaging of müllerian duct anomalies. Clin Obstet Gynecol 52:40–56
Troiano RN, McCarthy SM (2004) müllerian duct anomalies: imaging and clinical issues 1. Radiology 233:19–34
Saleem SN (2003) MR imaging diagnosis of uterovaginal anomalies: current state of the art. Radiographics 23(5):e13
Yoder IC, Hall DA (1991) Hysterosalpingography in the 1990s. AJR Am J Roentgenol 157:675–683.
Wu MH, Hsu CC, Huang KE (1997) Detection of congenital müllerian duct anomalies using three-dimensional ultrasound. J Clin Ultrasound 25:487–492
Pellerito JS, McCarthy SM, Doyle MB et al (1992) Diagnosis of uterine anomalies: relative accuracy of MR imaging, endovaginal ultrasound, and hysterosalpingography. Radiology 183:795–800
Buttram VC, Gibbons WE (1979) müllerian anomalies: a proposed classification (an analysis of 144 cases). Fertil Steril 32:40–46.
The American Fertility Society classifications of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, müllerian anomalies and intrauterine adhesions. (1988) Fertil Steril 49:944–955
Funqueira BLP, Allen LM, Spitzer RF et al (2009) Müllerian duct anomalies and mimics in children and adolescents: correlative intraoperative assessment with clinical imaging. Radiographics 29:1085–1103
Fedele L, Zamberletti D, Vercellini P et al (1987) Reproductive performance of women with unicornuate uterus. Fertil Steril 47:416–419
Ugur M, Turan C, Mungan T et al (1995) Endometriosis in association with müllerian anomalies. Gynecol Obstet Invest 40:261–264
Rock JA, Schlaff WD (1985) The obstetric consequences of uterovaginal anomalies. Fertil Steril 43:681–692
Propst AM, Hill JA (2000) Anatomic factors associated with recurrent pregnancy loss. Semin Reprod Med 18:341–350
Ott DJ, Fayez JA, Zagoria RJ (1998) Congenital anomalies. In: Ott DJ, Fayez JA, Zagoria RJ (eds) Hysterosalpingogra-phy: a text and atlas, 2nd ed. Williams & Wilkins, Baltimore, pp 59–69
Toaff ME, Lev-Toaff AS, Toaff R (1984) Communicating uteri: review and classification with introduction of two previously unreported types. Fertil Steril 41:661–679
Homer HA, Li TC, Cooke ID (2000) The septate uterus: a review of management and reproductive outcome. Fertil Steril 73:1–14
Fedele L, Bianchi S (1995) Hysteroscopic metroplasty for septate uterus. Obstet Gynecol Clin North Am 22:473–489
Reuter KL, Daly DC, Cohen SM (1989) Septate versus bicornuate uteri: errors in imaging diagnosis. Radiology 172:749–752
Zreik TG, Troiano RN, Ghoussoub RA et al (1998) Myometrial tissue in uterine septa. Am Assoc Gynecol Laparosc 5:155–160
Herbst AL, Senekjian EK, Frey KW (1989) Abortion and pregnancy loss among diethylstilbestrol-exposed women. Semin Endocrinol 7:124–129
Goldberg JM, Falcone T (1999) Effect of diethylstilbestrol on reproductive function. Fertil Steril 72:1–7
Reinhold C, Atri M, Mehio A et al (1995) Diffuse uterine adenomiosis: morphologic criteria and diagnostic accuracy of endovaginal sonography. Radiology 197:609–614
Dueholm M (2006) Transvaginal ultrasound for diagnosis of adenomyosis: a review. Best Pract Res Clin Obstet Gynaecol 20:569–582
Dueholm M, Lundorf E, Hansen ES et al (2001) Magnetic resonance imaging and transvaginal ultrasonography for diagnosis of adenomyosis. Fertil Steril 76:588–594
Byun JY, Kim SE, Choi BG et al (1999) Diffuse and focal adenomyosis: MR imaging findings. Radiographics 19: S161–S170
Reinhold C, Tafazoli F, Mehio A et al (1999) Uterine adenomyosis: endovaginal US and MR imaging features with histopathologic correlation. Radiographics 19:S147–S160
Reinhold C, Atri M, Mehio A et al (1995) Diffuse uterine adenomyosis: morphologic criteria and diagnostic accuracy of endovaginal sonography. Radiology 197:609–614
Nalaboff KM, Pellerito JS, Ben-Levi E (2001) Imaging the endometrium: disease and normal variants. Radiographics 21:1409–1424
Sivridis E, Giatromanolaki A (2008) The endometrial hyperplasias revisited. Virchows Arch 453:223–231
Poulsen HE, Taylor CW, Sobin LH (1975) Histological typing of female genital tract tumours. World Health Organization, Geneva
Lacey JV, Chia VM (2009) Review endometrial hyperplasia and the risk of progression to carcinoma. Maturitas 63:39–44
Goldstein SR (2009) The role of transvaginal ultrasound or endometrial biopsy in the evaluation of the menopausal endometrium. Am J Obstet Gynecol 201:5–11
Goldstein SR, Monteagudo A, Popiolek D et al (2002) Evaluation of endometrial polyps. Am J Obstet Gynecol 186:669–674
Hricak H, Tscholakoff D, Heinrichs L et al (1986) Uterine leiomyomas: correlation of MR, histopathologic findings, and symptoms. Radiology 158:385–391
Murase E, Siegelman ES, Outwater EK et al (1999) Uterine leiomyomas: histopathologic features, MR imaging findings, differential diagnosis, and treatment. Radiographics 19:1179–1197
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Cova, M.A., Giarraputo, L. (2010). Malformazioni congenite e patologia benigna dell’utero. In: Imaging dell’Apparato Urogenitale. Springer, Milano. https://doi.org/10.1007/978-88-470-1769-6_13
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DOI: https://doi.org/10.1007/978-88-470-1769-6_13
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