Feasibility of 3.0T pelvic MR imaging in the evaluation of endometriosis

Manganaro, Lucia; Fierro, Francesca; Tomei, Alessandra; Irimia, D.; Lodise, Pietro; Sergi, Maria Eleonora; Vinci, Valeria; Sollazzo, Paolo; Porpora, Maria Grazia; Delfini, Roberto; Vittori, Giorgio; Marini, Mario

doi:10.1016/j.ejrad.2011.03.049

Cited by 68 publications

(62 citation statements)

References 24 publications

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“…These considerations justified the employment of MR as a complementary examination in complex cases of endometriosis with extensive adhesions and as gold standard for the diagnosis of BE [48,50,51,52,53,54]. …”

Section: Resultsmentioning

confidence: 99%

Diagnosis and Treatment of Bladder Endometriosis: State of the Art

et al. 2012

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Background: The bladder is the most common affected site in urinary tract endometriosis, being diagnosed during gynecologic follow-up. The surgical urological treatment might lead to good results. Study Objective: To define the state of the art in the diagnosis and treatment of bladder endometriosis. Methods: We performed a literature review by searching the MEDLINE database for articles published between 1996 and 2011, limiting the searches to the words: urinary tract endometriosis, bladderendometriosis, symptoms, diagnosis and treatment.Results: Deep pelvic endometriosis usually involves the urinary system, with the bladder being affected in 85% of cases. The diagnosis has to be considered as a step-by-step procedure. Currently, the treatment is usually surgical, consisting of either transurethral resection or partial cystectomy, and eventually associated with hormonal therapy. The hormonal therapy alone counteracts only the stimulus of endometriotic tissue proliferation, with no effects on the scarring caused by this tissue. The overall recurrence rate is about 30% for combined therapies and about 35% for the hormonal treatment alone. Conclusions: The bladder is the most common affected site in urinary tract endometriosis. Most of the time, this condition is diagnosed because of the complaint of urinary symptoms during gynecologic follow-up procedures for a deep pelvic endometriosis: a close collaboration between the gynecologist and the urologist is advisable, especially in highly specialized centers. The surgical urological treatment might lead to good results in terms of patients’ compliance and prognosis.

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Section: Resultsmentioning

confidence: 99%

Diagnosis and Treatment of Bladder Endometriosis: State of the Art

et al. 2012

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“…The main indications for surgical treatment of UE are the presence of symptoms and/or the hydroureteronephrosis [7,51]. …”

Section: Resultsmentioning

confidence: 99%

Ureteral Endometriosis: Proposal for a Diagnostic and Therapeutic Algorithm with a Review of the Literature

Maccagnano¹,

Pellucchi²,

Rocchini³

et al. 2013

Urol Int

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Introduction: The ureteral involvement in deep pelvic endometriosis in usually asymptomatic and might lead to a silent loss of renal function. As a matter of fact, the diagnosis and the treatment modalities are still a matter of debate. Materials and Methods: We performed a literature review by searching the MEDLINE database for articles published in English between 1996 and 2010, using the key words urinary tract endometriosis, ureteral endometriosis, diagnosis and treatment. We found more than 200 cases of ureteral endometriosis (UE). Results: The disease most commonly affects a single distal segment of the ureter, with a left predisposition in most of the patients. Two major pathological types of UE may be distinguished: intrinsic and extrinsic. The symptoms are usually nonspecific and owing to secondary obstruction. The diagnosis has to be considered as a step- by-step procedure, starting from physical examination to highly detailed imaging methods. Nowadays, the treatment is usually chosen according to the type of UE, the site lesion and the distance to the ureteral orifice, with the use of JJ stents remaining a matter of debate. Conclusions: A close collaboration between the gynecologist and the urologist is advisable, especially in referral centers. Surgical treatment can lead to good results in terms of both patient compliance and prognosis.

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“…По данным А. М. Хачатрян и соавт., УЗИ оказа-лось информативным лишь у 4 из 14 больных [5], при этом распознать этиологию узла (эндометриоз или рак) не представлялось возможным. МРТ -зна-чительно более информативный метод диагностики эндометриоза МП [34][35][36][37][38]. Информативность МРТ при эндометриозе МП, по данным А. М. Хачатрян и соавт., составила 82 %, в том числе у 6 больных уда-лось диагностировать эндометриоидные инфильтраты в пузырной стенке (при размере их свыше 1 см) [5].…”

Section: анализ данных литературы и обсуждениеunclassified

“…По мнению ряда авторов, для ранней диагностики во-влеченности в процесс мочевых путей, необходимо всем больным генитальным эндометриозом включать в план исследования МРТ малого таза [5,35]. Хорошо выявляя опухолевидные инфильтраты в стенке МП, МРТ, тем не менее, не позволяет надежно дифферен-цировать природу этого образования (эндометриоз или рак) [34,35,38].…”

Section: анализ данных литературы и обсуждениеunclassified

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Bladder endometriosis mimicking urinary bladder carcinoma: A review of literature and a description of 3 own cases

Давидов¹,

Пономарева²

2016

Cancer Urology

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Key words : bladder, cancer, endometriosis, prevalence, etiology, pathogenesis, clinical presentation, diagnosis, differential diagnosis, cystoscopy, magnetic resonance imaging, surgical treatment Введение Эндометриоз является распространенным забо-леванием, встречается у 10-25 % женщин [1, 2]. Эн-дометриоз -разрастание ткани, функционально и морфологически подобной нормальному эндоме-трию, с повышенным локальным образованием эстрогенов. Сопутствующий воспалительный про-цесс, иммунологическая дизрегуляция, ингибирова-ние апоптоза, активация ангиогенеза -патогенети-ческие факторы, способствующие выживанию и росту эндометриоидных имплантов [2][3][4]. В последние годы экстрагенитальный эндометриоз привлекает повы-шенное внимание онкологов всего мира, так как эн-дометриоидные импланты, располагаясь в прямой и ободочной кишке, стенке мочевого пузыря (МП) и мочеточника, симулируют раковые опухоли этих органов [4][5][6].Эндометриоз МП, встречаясь относительно редко, недостаточно известен и изучен онкоурологами и уро-логами. Согласно данным R. L. Fein и B. F. Horton [7], первый случай эндометриоза МП наблюдал Judd в 1921 г. К 1960-м годам в мировой литературе было описано лишь 77 наблюдений [8]. В конце XX в. пре-обладали описания единичных казуистических случа-ев [9][10][11][12][13][14][15][16]. К 2015 г. в мировой литературе мы нашли описание 384 достоверных случаев эндометриоза МП.Некоторые авторы [17][18][19][20][21][22][23][24], полагая, что далеко не все случаи заболевания попадают на страницы пе-чати, считают, что частота поражения МП эндометри-озом значительно больше и составляет 1-12 % всех

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Feasibility of 3.0T pelvic MR imaging in the evaluation of endometriosis

Cited by 68 publications

References 24 publications

Diagnosis and Treatment of Bladder Endometriosis: State of the Art

Diagnosis and Treatment of Bladder Endometriosis: State of the Art

Ureteral Endometriosis: Proposal for a Diagnostic and Therapeutic Algorithm with a Review of the Literature

Bladder endometriosis mimicking urinary bladder carcinoma: A review of literature and a description of 3 own cases

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