1974년 1월 1일부터 1978년 12월 31일까지 만 5년동안 가톨릭의과대학 부속성모병원 산부인과에서 시행한 자궁적출술 총 1,007예중 자궁선근증 136예에 대하여 임상 및 병리조직학적 관찰을 하였던 바 다음과 같은 결론을 얻었다. 1. 자궁선근증의 발생빈도는 13.5%이었다. 2. 호발연령은 40세에서 49세였으며, 평균연령은 42.6세이었다. 3. 경산부의 발생율이 미산부보다 7.5배로 높았다. 4. 자궁선근증을 가진 자궁은 정상자궁보다 더욱 그 무게가 증가되었으며, 136예의 3분의 1에 해당하는 예에서 81~120gm의 사이에 있었다. 5. 자궁선근증의 경우 분만회수의 증가에 따라 자궁의 무게도 크게 증가하였다. 6. 전 136예의 5분의 1에 해당하는 예에서는 아무런 증상을 호소하지 않았고, 골반내동통, 월경통, 월경과다등이 주요증상을 이루었다. 7. 수술전 진단의 정확도는 10.3%이었으며, 수술후 육안적진단의 정확도는 22.8%이었다. 8. 합병질환중 자궁근종이 26.5%로 가장 많았고 골반내막증은 8.1%를 보였다. 9. 자궁내막 소견은 증식기가 68.4%, 분비기가 14.0%를 나타냈다.

This is the report of a retrospective study of 136 consecutive instances of adenomyosis among 1,007 hysterectomies, identified histologically at the St. Mary`s Hospital of Catholic Medical College during the 5 year period from January, 1974 through December, 1978. The results of clinicopathologic analysis were summarized as follows. 1. Routine pathologic examination of the 1,007 uteri revealed with adenomyosis in 136 specimens, and incidence of 13.5%. 2. The highest age incidence was in 40 to 49 years of age group, an incidence of 55.9% and the mean age was 42.6 year old. 3. Adenomyosis was more likely to occur in the parous woman than non-parous woman, such as 88.2% and 11.8% respectively. 4. A uterus containing adenomyosis weighs on the average more than a normal uterus, the most prevalent uterine weight was from 81 gram to 120 gram, an incidence was 35.2%. 5. The correlation of uterine weight and parity in adenomyosis was parallel, that is, more weight in higher parity. 6. Nearly one-fifth of the 136 patients analyzed for this report had proffered no symptoms of adenomyosis, an incidence of 19.1%. 7. Pelvic pain, dysmenorrhea, and menorrhagia were the common symptom of adenomyosis, an incidence of 38.2%, 33.8% and 31.6% respectively. 8. Only 14 of the 136 patients(10.3%) showed a preoperative diagnosis of adenomyosis. 9. Thirth-one patients(22.8%) in this study were diagnosed as adenomyosis postoperatively by surgeons. 10. Myoma was the most common associated lesion in adenomyosis, an incidence of 26.5%. 11. External endometriosis was found in 8.1% of cases in this study. 12. Proliferative endometrium was the most frequent endometrial finding of adenomyosis, an incidence was 68.4%.