The staging of peritoneal endometriosis by the type of active lesion in addition to the revised American Fertility Society classification
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This study investigated how classifying peritoneal endometriosis by active lesion type impacts staging alongside the revised American Fertility Society classification.
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Abstract
ObjectiveTo evaluate changes in peritoneal endometriosis by the type of lesion in comparison with the scoring system of the revised American Fertility Society (AFS) classification.DesignProspective evaluation at laparoscopy before and 6 months after discontinuance of a 3-month medical therapy with either dydrogesterone or danazol.SettingA general hospital.PatientsForty cycling women with endometriosis and infertility. Fourteen patients could be fully evaluated by their revised AFS score and type of peritoneal lesion.InterventionsLaparoscopy before and 6 months after discontinuance of medical therapy.Main outcome measureRevised AFS score and type of peritoneal lesions.ResultsThe revised AFS score decreased or remained unchanged in 13 of 14 patients, whereas red papular or vesicular lesions were present at both laparoscopies in 5, absent in 4, disappeared in 3, and appeared de novo in 2. A changing pattern also was seen in other types of small peritoneal lesions.ConclusionIn contrast with the revised AFS score, the study of the type of peritoneal lesions shows a changing pattern of activity. The significance in pathophysiological and clinical studies should be investigated further.
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- An appraisal of the role of laparoscopy: past, present, and future 2001
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