{"paper_id":"1106bdd0-dea8-4301-bb85-714d078a3508","body_text":"Abstract\nEndometriosis is classically defined by the presence of endometrial glands and stroma in regions remote from the uterine cavity. Evidence is increasing that different types of implants may represent different stages in the evolution of the disease and be associated with a different pathophysiology. The question has also been posed whether these types have different laparoscopic appearances. This chapter discusses the concept of endometriosis as a progressive disease, but self-limiting and therefore producing multiple appearances. A classification system for the morphological and laparoscopic appearances is attempted.\nPreview\nUnable to display preview. Download preview PDF.\nSimilar content being viewed by others\nReferences\nVasquez, G., Cornillie, F. and Brosens, I.A. (1984). Peritoneal endometriosis: scanning electron microscopy and histology of minimal pelvic endometriotic lesions. Fertil. Steril., 42, 696–703\nMurphy, A.A., Green, W.R., Bobbie, D., de la Cruz, Z.C. and Rock, J. (1986). Unsuspected endometriosis documented by scanning electron microscopy in visually normal peritoneum. Fertil. Steril., 46, 522–524\nRoddick, J.W., Conkey, G. and Jacobs, E.J. (1960). The hormonal response of endometrium in endometriotic implants and its relationship to symptomatology. Am. J. Obstet. Gynecol., 79, 1173–117\nSchweppe, K.W., Wynn, R.M. and Beller, F.K. (1984). Ultrastructural comparison of endometriotic implants and eutopic endometrium. Am. J. Obstet. Gynecol., 148, 1024–1039\nNieminen, U. (1962). Studies on the vascular pattern of ectopic endometrium with special reference to cyclic changes. Acta Obstet. Gynecol. Scand., 41 (suppl. 3), 1–81\nJansen, R.P. and Russel, P. (1986). Nonpigmented endometriosis: clinical, laparoscopic, and pathologic definition. Am. J. Obstet. Gynecol., 155, 1154–1159\nStripling, M.C., Martin, D.C., Chatman, D.L., Vander Zwaag, R. and Poston W.M. (1988). Subtle appearance of pelvic endometriosis. Fertil. Steril., 49, 427–431\nRedwine, D.B. (1987). The distribution of endometriosis in the pelvis by age groups and fertility. Fertil. Steril., 47, 173–175\nHughesdon, P.E. (1957). The structure of the endometrial cyst of the ovary. J. Obstet. Gynaecol. Br. Empire, 64, 481–487\nEvers, J.L.H. (1987). The second-look laparoscopy for evaluation of the result of medical treatment of endometriosis should not be performed during ovarian suppression. Fertil. Steril., 47, 502–504\nCornillie, F.J., Vasquez, G. and Brosens, I. (1985). The response of human endometriotic implants to the anti-progesterone steroid R2323: a histologic and ultrastructural study. Pathol. Res. Pract., 180, 647–655\nBrosens, I.A., Verleyen, A. and Cornillie, F. (1987). The morphologic effect of short-term medical therapy of endometriosis. Am. J. Obstet. Gynecol., 157, 1215–1221\nBrosens, I.A., Cornillie, F., Koninckx, P. and Vasquez, G. (1985). Evolution of the Revised American Fertility Society Classification of Endometriosis (letter). Fertil. Steril., 44, 714–716\nVernon, M.W., Beard, J.S., Graves, K. and Wilson, E.A. (1986). Classification of endometriotic implants by morphologic appearance and capacity of synthesize prostaglandin F. Fertil. Steril., 46, 801–806\nEditor information\nEditors and Affiliations\nRights and permissions\nCopyright information\n© 1991 Springer Science+Business Media Dordrecht\nAbout this chapter\nCite this chapter\nBrosens, I.A. (1991). The endometriotic implant. In: Thomas, E.J., Rock, J.A. (eds) Modern Approaches to Endometriosis. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-3864-2_2\nDownload citation\nDOI: https://doi.org/10.1007/978-94-011-3864-2_2\nPublisher Name: Springer, Dordrecht\nPrint ISBN: 978-94-010-5719-6\nOnline ISBN: 978-94-011-3864-2\neBook Packages: Springer Book Archive\nKeywords\nThese keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.","source_license":"CC0","license_restricted":false}