Endometriosis-associated cancer: modern aspects of etiopathogenesis, treatment and rehabilitation

In: Obstetrics, Gynecology and Reproduction · 2021 · vol. 15(3) , pp. 287–294 · doi:10.17749/2313-7347/ob.gyn.rep.2021.206 · W3196171140
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This review analyzes literature on endometriosis-associated cancer, highlighting the risk of malignant transformation, unclear pathogenesis, and the importance of active rehabilitation for early recurrence detection and improved quality of life.

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This paper is a systematic literature analysis on endometriosis-associated cancer, aiming to synthesize modern understanding of etiopathogenesis, treatment, and rehabilitation, using searches across major databases with full-text publications and assessment of evidence reliability and methodological quality. It reports that although external genital endometriosis is often considered benign, there is a risk of malignant transformation, while the underlying pathogenesis and pathomorphological mechanisms of endometriosis-associated cancer are not fully understood. The authors conclude that active management during the rehabilitation period for women with external genital endometriosis may enable earlier detection of recurrences, supporting earlier ovarian cancer diagnostics and improved quality-of-life indicators, while explicitly noting gaps in mechanistic understanding. This paper is centrally about endometriosis-associated cancer — focusing on etiopathogenesis, treatment, and rehabilitation in relation to external genital endometriosis (a core endometriosis condition) and its malignant transformation risk.

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Abstract

Aim: to analyze current literature sources on endometriosis-associated cancer (ЕАС) in gynecology. Materials and Methods. We searched for publications in the international scientific databases: eLibrary, Google Scholar, ScienceDirect, Cochrane Library, PubMed/MEDLINE and clinical research registries. For this systematic analysis, only full-text publications were used. We evaluated the reliability of evidence and the methodological quality of the studies. The data on the modern approach to the therapy and rehabilitation of women with external genital endometriosis (EGE) are presented. Search terms for publications in Russian and English were used: «endometriosis», «endometriosis-associated ovarian neoplasia», «oncology», «rehabilitation». Results. Despite the fact that EGE is considered a benign disease, there is a risk for its malignant transformation. However, the pathogenesis and pathomorphological mechanisms of ЕАС are not yet fully understood. Conclusion. Active management of the rehabilitation period for women with EGE provides an opportunity for early diagnosing recurrences that will provide early diagnostics ovarian ЕАС and improve the main indicators of the quality of life for such patients.
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Abstract

Aim: to analyze current literature sources on endometriosis-associated cancer (ЕАС) in gynecology.

Materials

and Methods. We searched for publications in the international scientific databases: eLibrary, Google Scholar, ScienceDirect, Cochrane Library, PubMed/MEDLINE and clinical research registries. For this systematic analysis, only full-text publications were used. We evaluated the reliability of evidence and the methodological quality of the studies. The data on the modern approach to the therapy and rehabilitation of women with external genital endometriosis (EGE) are presented. Search terms for publications in Russian and English were used: «endometriosis», «endometriosis-associated ovarian neoplasia», «oncology», «rehabilitation». Results. Despite the fact that EGE is considered a benign disease, there is a risk for its malignant transformation. However, the pathogenesis and pathomorphological mechanisms of ЕАС are not yet fully understood. Conclusion. Active management of the rehabilitation period for women with EGE provides an opportunity for early diagnosing recurrences that will provide early diagnostics ovarian ЕАС and improve the main indicators of the quality of life for such patients. About the Authors E. BegovichRussian Federation Evana Begovich – MD, Postgraduate Student, Department of Obstetrics and Gynecology, Filatov Clinical Institute of Children's Health 2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991 A. G. Solopova Russian Federation Antonina G. Solopova – MD, Dr Sci Med, Professor, Department of Obstetrics and Gynecology, Filatov Clinical Institute of Children's Health Scopus Author ID: 6505479504 2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991 V. O. Bitsadze Russian Federation Viktoriya O. Bitsadze – MD, Dr Sci Med, Professor of RAS, Professor, Department of Obstetrics and Gynecology, Filatov Clinical Institute of Children’s Health Scopus Author ID: 6506003478; Researcher ID: F-8409-2017 2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991 S. V. Khlopkova Russian Federation Svetlana V. Khlopkova – MD, Obstetrician-Gynecologist of the Highest Qualification Category, Head of the Department of Gynecology 2/44 Salyama Adilya Str., Moscow 123423 E. A. Orudzhova Russian Federation Esmira A. Orudzhova – MD, Head of Antenatal Outpatient Care Center, Maternity Hospital № 1 – Branch of Vorokhobov City Clinical Hospital № 67 2/44 Salyama Adilya Str., Moscow 123423

References

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