UTERUS - Adenomyosis

A markedly and symmetrically enlarged uterine body; the cut surface shows the trabecular pattern seen in adenomyosis. The endometrial cavity appears normal, and the surface shows no apparent abnormality.
This woman was admitted with polymenorrhoea and menorrhagia. For some four-to-five years she had noted a markedly increased loss of blood at each period, with a decreasing time between periods. She was then aged 52. At her last period before admission she had bled heavily for ten days, and then two weeks later had bled for another ten days.