Ultrasound Characteristics of Endometriosis

In: Ultrasound and Endoscopic Surgery in Obstetrics and Gynaecology · 2003 · pp. 189–195 · doi:10.1007/978-1-4471-0655-5_26 · W97029586
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This paper reviews the development, prevalence, and potential causes of endometriosis, a condition characterized by ectopic endometrial tissue.

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This chapter reviews what is known about ultrasound characteristics used to detect endometriosis, with an emphasis on transvaginal ultrasound findings associated with ovarian endometriomas, drawing on prior studies that assessed diagnostic performance (including Doppler and energy imaging approaches) and related diagnostic criteria. It describes the broader clinical context that endometriosis prevalence is hard to estimate because definitive diagnosis requires laparoscopy and surgical indications shape which patients are diagnosed, with possible geographic variation noted. A key caveat is that ultrasound-based diagnosis relies on variable assessment methods and may be influenced by observer experience and study design, limiting generalizability of diagnostic accuracy across settings. This paper is centrally about endometriosis — it focuses on the ultrasound characteristics and imaging approaches used to identify endometriosis, particularly endometriomas.

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Abstract

Endometriosis is a benign disease characterised by the presence of viable ectopic endometrium outside the uterine cavity. It is commonly found in women of reproductive age. In 1927, Sampson hypothesised that endometriosis develops from retrograde menstruation.1However, retrograde menstruation is common among all menstruating women and during the past decades both a genetic predisposition and immunological dysfunction have been found to be associated with the development of endometriotic lesions.2–5The actual prevalence of endometriosis in women of reproductive age is difficult to ascertain because the diagnosis requires laparoscopy and the indications used for surgery will influence the proportion of patients diagnosed with endometriosis. Furthermore, the prevalence of endometriosis seems to be geographically different. One possible explanation might be exposure to irradiation, polychlorinated biphenyls or dioxin.6,7 Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

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