Suggestive evidence that pelvic endometriosis is a progressive disease, whereas deeply infiltrating endometriosis is associated with pelvic pain

Ultrasound mapping system for the surgical management of deep infiltrating endometriosis

“…It is associated with significant morbidity and constitutes a major public health concern (1). Deep infiltrating endometriosis (DIE) is defined as an endometriotic lesion penetrating to a depth of at least 5 mm (2) and it affects between 4% and 37% of patients with pelvic endometriosis, often causing pelvic pain, dysmenorrhea, dyspareunia, dyschezia, urinary symptoms, and infertility (3). Symptoms caused by DIE are not specific, often resulting in misdiagnosis or delayed diagnosis (4,5).…”

Genomic alterations detected by comparative genomic hybridization in ovarian endometriomas

“…The ectopic tissue is histologically identical to the eutopic tissue, differing in functional and biochemical aspects (2,3). Endometriosis is characterized by dysmenorrhea, dyspaneuria, pelvic pain, and infertility or even absence of symptoms (4). Moreover, endometriosis suffers malignant transformation at a frequency of 0.7 to 1% (5).…”

Importância da ultra-sonografia anorretal tridimensional na decisão terapêutica da endometriose profunda

“…É causa de infertilidade em 25%-50% dessas pacientes (2) . A localização mais freqüente são os ová-rios e superfície peritoneal, seguido das localizações profundas, isto é, que penetram o espaço subperitoneal mais do que 5mm (3) , sendo mais acometidos os ligamentos uterosacrais, fundo de saco retovaginal, reto, sigmóide e septo retovaginal (4) .…”