Ovarian interstitial blood flow changes assessed by transvaginal colour Doppler sonography: predicting ovarian endometrioid cyst-induced injury to ovarian interstitial vessels
Transvaginal color Doppler sonography detected diminished ovarian interstitial blood flow and increased resistance in patients with endometrioid cysts, correlating with reduced microvessel density and increased thrombospondin-1.
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This study used preoperative transvaginal colour Doppler sonography in 60 patients with 76 ovarian endometrioid cysts to measure blood flow patterns and resistance indices (RI), then collected corresponding ovarian interstitial specimens for pathology. Compared with 30 age-matched patients with benign ovarian tumours, the OEC group showed diminished blood flow in ovarian interstitial arteries with significantly higher RI, lower CD34-measured microvessel density (MVD), and higher thrombospondin-1 (TSP-1) protein and mRNA; CD34-MVD and TSP-1 were negatively correlated, and RI correlated with both MVD and TSP-1 in directionally specific ways. The authors’ caveat is that the mechanistic implications are inferred from correlative associations between imaging and tissue markers rather than direct demonstration of causality. This paper is centrally about endometriosis—specifically ovarian endometrioid cyst–associated injury to ovarian interstitial microvessels.
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Cited by (15)
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- Clinical characteristics of endometrioma with and without dysmenorrhea diagnosed by laparoscopy: A retrospective cohort study in a tertiary center 2024
- Ovarian endometriosis associated infertility: a modern view to the problem 2020
- Effect of Dienogest therapy on the size of the endometrioma 2020
- Endometrioma and reproductive issues: a well-informed patient may be the driver for change 2020
- Tumour markers and histopathologic features of ovarian endometriotic cysts 2020
- Could surgical management improve the IVF outcomes in infertile women with endometrioma?: a review 2019
- Endometriosis: When and How We Treat 2017
- The Clinical Diagnosis of Pelvic Endometriosis in Adolescents 2017
- Origins and Progression of Adolescent Endometriosis 2016
- Treatment of endometrioma for improving fertility 2016
- An Update on Surgical versus Expectant Management of Ovarian Endometriomas in Infertile Women 2015
- Correlation between ovarian chocolate cyst and serum carbohydrate antigen 125 level and the effect of ultrasound‐guided interventional sclerotherapy on serum carbohydrate antigen 125 level 2014
- Iron availability is increased in individual human ovarian follicles in close proximity to an endometrioma compared with distal ones 2014
- Early stage management of ovarian endometrioma to prevent infertility. 2013
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