Associated ovarian endometrioma is a marker for greater severity of deeply infiltrating endometriosis  

Oleh:

Chapron, Charles ; Pietin-Vialle, Claire ; Borghese, Bruno ; Davy, Céline

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 92 no. 02 (Aug. 2009), page 453-457.
Topik: Deeply infiltrating endometriosis; ovarian endometriomas; endometriosis; multifocality; severity

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2009.03 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Objective : To investigate whether an associated ovarian endometrioma is a marker for severity of deep infiltrating endometriosis (DIE). Design : Observational study between June 1992 and December 2005. Setting : University tertiary referral center. Patient(s) : Five hundred patients with histologically assessed DIE. Intervention(s) : Complete surgical exeresis of deep endometriotic lesions. Main Outcome Measure(s) : Severity of the disease was quantified according to the mean number of DIE lesions and the type of main lesion. Result(s) : In patients with associated ovarian endometrioma, the number of single isolated DIE lesions was statistically significantly lower (41.9% vs. 61.1%). The mean number of DIE lesions was statistically significantly higher in patients presenting with an associated ovarian endometrioma (2.51 ± 1.72 vs. 1.64 ± 1.0). For patients with associated ovarian endometrioma DIE lesions were more severe with an increased rate of vaginal, intestinal, and ureteral lesions. Conclusion(s) : Associated ovarian endometrioma is a marker for the severity of the DIE. In a clinical context suggestive of DIE, when there is an ovarian endometrioma, the practitioner should investigate the extent of the disease to check for severe and multifocal DIE lesions.

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