Transvaginal ultrasound for diagnosis of deeply infiltrating endometriosis

Gonçalves, Maynara Santana; Dias, João; Podgaec, Sérgio; Averbach, Marcelo; Abrão, Maurício Simões

doi:10.1016/j.ijgo.2008.10.005

Cited by 71 publications

(61 citation statements)

References 16 publications

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“…Particularly, in more aggressive, infiltrating forms of the disease, there appears to be a predominant action of cell immunity, with cells, enzymes and cytokines provoking adhesion, infiltration and maintenance of the foci of ectopic endometrial tissue. Deeply infiltrating endometriosis is a major issue in several studies related to this disease, including etiopathogenesis, clinical data, imaging methods and an intense clinical and surgical treatment debate 16,17,18,19,20,21 . There are still some topics that have no consensus, such as the best imaging method for diagnosis of deep lesions (mainly bowel endometriosis) 18,19 and the best option for treatment of these lesions, due to the complication risk related to the more advanced surgical procedures 20,21 .…”

Section: Discussionmentioning

confidence: 99%

Th1 and Th2 immune responses related to pelvic endometriosis

Podgaec¹,

Dias²,

Chapron³

et al. 2010

Rev. Assoc. Med. Bras.

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Section: Discussionmentioning

confidence: 99%

Th1 and Th2 immune responses related to pelvic endometriosis

Podgaec¹,

Dias²,

Chapron³

et al. 2010

Rev. Assoc. Med. Bras.

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“…Transvaginal ultrasound is the natural first choice of image modality when investigating pelvic pain and endometriosis (including deep lesions) [16,17]. MRI represents an accurate method for the detection of adenomyosis, sensitivity, and specificity varying from 86 % to 100 % [5,14,[18][19][20][21][22], making this a highly effective tool for the diagnosis of this disease [14].…”

Section: Introductionmentioning

confidence: 99%

Patients with adenomyosis are more likely to have deep endometriosis

et al. 2012

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This study seeks to analyze the association between adenomyosis diagnosed by magnetic resonance imaging (MRI) and endometriosis. This is a prospective study of consecutive patients. One hundred fifty-two patients with histologically confirmed endometriosis. Patients were submitted to MRI, then divided into Group A (with adenomyosis) and Group B (without adenomyosis). Thickness of the junctional zone and the presence of intramyometrial cysts were the principal criteria for diagnosis of adenomyosis. MRI data were correlated with clinical status, staging, sites affected, and histological classification of endometriosis. The prevalence of adenomyosis in endometriosis patients was 42.76 %. Patients with endometriosis and adenomyosis were more likely than those without adenomyosis to report severe or incapacitating dysmenorrhea (61.53 % in Group A; 44.83 % in Group B; p00.041) and deep dyspareunia (64.61 % in Group A; 41.38 % in Group B; p00.005), to have stage IV endometriosis (50.77 % in Group A; 33.34 % in Group B; p00.03), to have endometriosis of the rectosigmoid (49.23 % in Group A; 32.18 % in Group B; p00.033), and to have undifferentiated or mixed histological types of endometriosis (52.31 % in Group A; 34.48 % in Group B; p00.028). A correlation was found between adenomyosis and deep endometriosis with poorer prognosis, particularly endometriosis of the rectosigmoid.

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“…Mas é menos efetiva em diagnosticar a endometriose pélvica posterior porque não avalia com precisão a infiltração das camadas da parede retal (20,21,22) . Em serviços não referenciados, esse exame passa a ser menos eficaz, pois não é realizado preparo intestinal adequado e o examinador não é habilitado na evidenciação dos focos na parede retal e área adjacente (23) . Essa característica é considerada uma limitação do método.…”

Section: Discussionunclassified