Retrospective analysis of ultrasound criteria for newly diagnosed extragenital endometriosis detected during preventive examinations

О Е Нечаева, I. S. Gruzdev, Yu. V. Popov, А. Г. Кедрова, V N Lesnyak, N. S. Nosenko
In: Tumors of female reproductive system · 2020 · vol. 16(2) , pp. 44–49 · doi:10.17650/1994-4098-2020-16-2-44-49 · W3113619131
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This study analyzed ultrasound characteristics of 57 extragenital endometriosis cases to propose improved screening criteria for earlier detection during preventive examinations.

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This retrospective study analyzed ultrasound criteria used to detect newly diagnosed extragenital endometriosis in participants undergoing preventive examinations. The authors evaluated which ultrasound findings/criteria were used for detection and characterized cases identified during screening, focusing on extragenital disease rather than pelvic-only presentations. A major limitation explicitly inherent to the study design is that it is retrospective and based on examinations performed in routine preventive contexts, which constrains standardization and causal interpretation of diagnostic performance. This paper is centrally about endometriosis — specifically evaluating ultrasound criteria for newly diagnosed extragenital endometriosis found during preventive examinations, with no direct emphasis on adenomyosis.

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Abstract

Endometriosis is a common pathological condition characterized by the presence of endometrial glands and stroma outside the uterus, most frequently in the pelvis. Despite the ability to demonstrate infiltrative growth and tendency to local recurrence and invasion, endometriosis is considered as a benign proliferative disease. An increasing incidence of extragenital endometriosis (including that in young patients) and difficulties associated with its visualization during ultrasonography lead to a delayed diagnosis, resulting in an increase in the number of cases of advanced endometriosis, which requires long-term treatment. The improvement of a screening ultrasound tomography technique and development of specific ultrasound criteria for preventive examination will ensure rapid identification of patients requiring treatment. In this retrospective study, we analyzed 57 cases of extragenital endometriosis detected during preventive examinations of women between 2014 and 2019. Each case was analyzed with the consideration of ultrasound characteristics together with clinical and gynecological data. We evaluated location, size, contours, and structure of foci. We propose a method of extended ultrasound examination in women with suspected extragenital endometriosis.
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Abstract

About the authors O. E. Nechaeva Federal Research and Clinical Center for Specialized Medical Care and Medical Technologies, Federal Medical and Biological Agency of the Russian Federation Author for correspondence. Email: [email protected] 28 Orekhovyy Boulevard, Moscow 115682 Russian Federation I. S. Gruzdev A.V. Vishnevsky National Medical Research Center of Surgery, Ministry of Health of Russia27 Bolshaya Serpukhovskaya St., Moscow 117997 Russian Federation Yu. V. Popov Federal Research and Clinical Center for Specialized Medical Care and Medical Technologies, Federal Medical and Biological Agency of the Russian Federation28 Orekhovyy Boulevard, Moscow 115682 Russian Federation A. G. Kedrova Federal Research and Clinical Center for Specialized Medical Care and Medical Technologies, Federal Medical and Biological Agency of the Russian Federation Email: [email protected] ORCID iD: 0000-0003-1031-9376 28 Orekhovyy Boulevard, Moscow 115682 Russian Federation V. N. Lesnyak Federal Research and Clinical Center for Specialized Medical Care and Medical Technologies, Federal Medical and Biological Agency of the Russian Federation28 Orekhovyy Boulevard, Moscow 115682 Russian Federation N. S. Nosenko Federal Research and Clinical Center for Specialized Medical Care and Medical Technologies, Federal Medical and Biological Agency of the Russian Federation28 Orekhovyy Boulevard, Moscow 115682 Russian Federation

References

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