Endometriose Aspectos clínicos do diagnóstico ao tratamento

Júlio César Rosa e Silva, Fernando Passador Valério, H Herren, Júlia Kefalás Troncon, Rodrigo Biscuola Garcia, Omero Benedicto Poli‐Neto
In: Femina · 2021 · vol. 49(3) , pp. 134–141 · doi:10.61622/0100-7254493202101 · W3205761410
article OA: bronze CC0 ⤵ 8 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-06 ⓘ

Clinical suspicion of endometriosis relies on patient history and physical exam, but variable presentations and lack of pathognomonic signs complicate diagnosis, although transvaginal ultrasound can strongly suggest it.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-06 ⓘ

This paper reviews clinical aspects of endometriosis from suspected diagnosis through treatment considerations, using a systematic literature review to outline which examinations are needed. It highlights that symptoms vary widely and lack pathognomonic features, making clinical diagnosis inconclusive, while transvaginal ultrasound and pelvic MRI can strongly suggest endometriosis in cases such as endometriomas or deep infiltrating disease but have inadequate sensitivity/specificity for superficial peritoneal endometriosis; CA-125 shows limited sensitivity and video-laparoscopy with histopathology remains the stated “gold standard,” despite its risks, high cost, and diagnostic yield limitations. A key stated limitation is that imaging performance and biomarker utility vary by lesion type and that diagnostic delay (reported as 5–10 years on average to surgical diagnosis) undermines timely management and correlates with poorer pain and functioning outcomes. This paper is centrally about endometriosis — it focuses specifically on diagnostic strategies from clinical suspicion through noninvasive imaging and surgical/histologic confirmation.

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Abstract

RESUMO A suspeita clínica de endometriose geralmente envolve a história clínica da paciente e exame físico, abordando sua sintomatologia e história pessoal e familiar. Entretanto, a apresentação clínica da doença varia consideravelmente, sem características clínicas patognomônicas, fato que dificulta o seu diagnóstico. Um diagnóstico presuntivo de endometriose pode ser fortemente sugerido pela ultrassonografia transvaginal e […]

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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