Associated ovarian endometrioma is a marker for greater severity of deeply infiltrating endometriosis
| Autor: | Céline Davy, Bruno Borghese, Nicolas Chopin, Charles Chapron, Hervé Foulot, Claire Pietin-Vialle |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
Male medicine.medical_specialty Endometriosis Context (language use) Ovary Gastroenterology Risk Assessment Sensitivity and Specificity Lesion Young Adult Risk Factors Internal medicine Medicine Humans In patient Young adult Gynecology Ovarian Endometrioma business.industry Incidence (epidemiology) Incidence Obstetrics and Gynecology Reproducibility of Results Middle Aged medicine.disease Causality medicine.anatomical_structure Reproductive Medicine Female France medicine.symptom business |
| Zdroj: | Fertility and sterility. 92(2) |
| ISSN: | 1556-5653 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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