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Using location, color, size, and depth to characterize and identify endometriosis lesions in a cohort of 133 women.

Abstract：

OBJECTIVE:To correlate histology with endometriosis characteristics. DESIGN:Secondary data analysis. SETTING:Government research hospital. PATIENT(S):One hundred thirty-three women with chronic pelvic pain and endometriosis who underwent laparoscopic surgery between 1999 and 2004. INTERVENTION(S):Laparoscopic excision of lesions, including recording of lesion characteristics and surgical impression of the lesions. MAIN OUTCOME MEASURE(S):All biopsies were sent for histological examination for endometriosis, and surgical and histological findings were compared. RESULT(S):Three hundred fifty-seven of 544 lesions believed to be endometriosis by the surgeon had positive histology. Mixed-color lesions most commonly contained endometriosis (76%), with the percentage of positive lesions being similar between single-color groups. Among subtle (red or white) lesions, 58% (164/283) were positive for endometriosis. Thirty women had only red or white lesions, and 18 (60%) had at least one lesion positive for endometriosis. Lesions were most commonly located in the cul-de-sac (64%), utero-sacral ligaments (68%), and ovarian fossa (70%). CONCLUSION(S):Wide, deep, mixed-color lesions in the cul-de-sac, the ovarian fossa, or the utero-sacral ligaments had the highest frequency of endometriosis. More than half of subtle lesions had endometriosis. These results should be considered when diagnosing endometriosis.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Stegmann BJ,Sinaii N,Liu S,Segars J,Merino M,Nieman LK,Stratton P

doi

10.1016/j.fertnstert.2007.05.042

subject

Has Abstract

pub_date

2008-06-01 00:00:00

pages

1632-6

issue

6

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(07)01210-1

journal_volume

89

pub_type

杂志文章

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