Laparoscopic appearances of peritoneal endometriosis

Dc, Martin; Hubert, G.; Zwaag, Roger Vander; El-Zeky, Faten

doi:10.1016/s0015-0282(16)60429-6

Cited by 233 publications

(97 citation statements)

References 11 publications

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“…Finally, the diagnosis of endometriosis was confirmed histologically in only twothirds of the patients and the remaining diagnoses were based on macroscopic features during surgery. A previous study 24 has underlined the low accuracy of macroscopic findings especially in women with superficial peritoneal endometriosis. However, recent reports have demonstrated the high accuracy of surgical findings for the diagnosis of deep pelvic endometriosis 25,26 .…”

Section: Discussionmentioning

confidence: 97%

Diagnostic accuracy of transvaginal sonography for deep pelvic endometriosis

Bazot

Thomassin

Hourani

et al. 2004

Ultrasound in Obstet & Gyne

296

275

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Section: Discussionmentioning

confidence: 97%

Diagnostic accuracy of transvaginal sonography for deep pelvic endometriosis

Bazot

Thomassin

Hourani

et al. 2004

Ultrasound in Obstet & Gyne

296

275

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“…During the last decade, attention has been focused on subtle lesions such as white and red lesions (Chatman, 1981;Jansen and Russel, 1986;Redwine, 1981;Stripling et al, 1988;Martin et al, 1989;Nisolle et al, 1990;Brosens, 1994). Typical and subtle endometriotic lesions are histologically characterized by both epithelium and stroma of the endometrial type.…”

Section: Introductionmentioning

confidence: 99%

Stereometric evaluation of peritoneal endometriosis and endometriotic nodules of the rectovaginal septum

Donnez¹,

Nisolle²,

Casanas-Roux³

et al. 1996

Human Reproduction

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A computerized morphometrical investigation was performed on endometriotic tissue from the peritoneum (n = 225) and rectovaginal nodules (n = 65) to compare histologically and stereologically the rectovaginal septum endometriotic nodule to peritoneal endometriosis. Mitotic activity, stromal vascularization and the epithelium/stroma ratio were found to be significantly different in peritoneal and rectovaginal endometriosis. The evaluation revealed a major role of glandular epithelium in rectovaginal nodules where the stroma sometimes appeared absent around glandular epithelium. The study demonstrated opposite effects of gonadotrophin-releasing hormone agonists (GnJRHa) and lynestrenol on the two lesions. Indeed, in peritoneal endometriosis, after GnRHa therapy, our study demonstrated a lower rate of mitosis and poor stromal vascularization. The same drug was unable to induce the same effects in the nodule although, in contrast, lynestrenol has a strong effect on nodule vascularization. In conclusion, it is suggested that the rectovaginal adenomyotic nodule is a specific disease, different from peritoneal endometriosis. It is not the consequence of 'deep infiltrating' endometriosis but can probably develop from Mtillerian rests present in the rectovaginal septum.

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“…Consecutive laparoscopic observations in the same patient 17 suggested that early lesions appear and disappear "like mushrooms on the peritoneal surface". Awareness of the existence of subtle endometriosis produced an increase in its diagnosis, although clinical significance of early lesions remained controversial [18][19][20] .…”

Section: Peritoneal Endometriosismentioning

confidence: 99%

Adenomyosis and endometriosis have a common origin

Benagiano

Brosens

2011

J Obstet Gynecol India

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The presence of epithelial cells in the peritoneal cavity and within the myometrium was described during the second part of the 19th century and was given the name "adenomyoma". Then, with the identification of peritoneal endometriosis in the 1920s, adenomyosis became a separate nosological entity. For decades, the two abnormalities have been considered separate benign proliferative conditions of the female reproductive tract with a different clinical profile. More recently, however, evidence has been accumulated indicating that these two diseases have in common an endometrial dysfunction involving both eutopic and heterotopic endometrium causing a reaction in the inner myometrium (the so-called myometrium junctional zone (JZ)). It therefore seems that adenomyosis and endometriosis share a common origin in an abnormal eutopic endometrium and myometrium JZ. It is therefore no surprise that both conditions are associated with obstetrical disorders, such as spontaneous preterm delivery and premature preterm rupture of the membranes, which may have roots in a disturbed decidualization and placentation process.

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Laparoscopic appearances of peritoneal endometriosis

Cited by 233 publications

References 11 publications

Diagnostic accuracy of transvaginal sonography for deep pelvic endometriosis

Diagnostic accuracy of transvaginal sonography for deep pelvic endometriosis

Stereometric evaluation of peritoneal endometriosis and endometriotic nodules of the rectovaginal septum

Adenomyosis and endometriosis have a common origin

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