The staging of peritoneal endometriosis by the type of active lesion in addition to the revised American Fertility Society classification
Non-randomised trial
OA: closed
CC0
⤵ 66 in-corpus citations
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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
OBJECTIVE: To evaluate changes in peritoneal endometriosis by the type of lesion in comparison with the scoring system of the revised American Fertility Society (AFS) classification.
DESIGN: Prospective evaluation at laparoscopy before and 6 months after discontinuance of a 3-month medical therapy with either dydrogesterone or danazol.
SETTING: A general hospital.
PATIENTS: Forty cycling women with endometriosis and infertility. Fourteen patients could be fully evaluated by their revised AFS score and type of peritoneal lesion.
INTERVENTIONS: Laparoscopy before and 6 months after discontinuance of medical therapy.
MAIN OUTCOME MEASURE: Revised AFS score and type of peritoneal lesions.
RESULTS: The 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.
CONCLUSION: In 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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- The epidemiology of endometriosis is poorly known as the pathophysiology and diagnosis are unclear 2020
- Endometriosis and Infertility: A Systematic Review 2017
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- Endometriosis: a life cycle approach? 2013
- Endometriosis and Angiogenic Factors 2012
- History of Endometriosis: A 20th‐Century Disease 2011
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- Adenomyosis and endometriosis have a common origin 2011
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- Up-regulation of cyclooxygenase-2 expression and prostaglandin E2 production in human endometriotic cells by macrophage migration inhibitory factor: involvement of novel kinase signaling pathways 2009
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- Expression und Regulation von Enzymen des Östrogenmetabolismus in humanen Endometriumläsionen kultiviert in der Nacktmaus 2007
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- Noninvasive diagnosis of endometriosis: the role of imaging and markers 2003
- Women with endometriosis have increased levels of placental growth factor in the peritoneal fluid compared with women with cystadenomas 2003
- Animal Models for Research on Endometriosis 2003
- Endometriosis: a uterine disease with extrauterine lesions? 2003
- Endométriose stade I et II : implications physiopathologiques, cliniques et thérapeutiques 2003
- Ovarian endometriosis and peritoneal endometriosis: are they different entities from a fertility perspective? 2002
- Macrophage Migration Inhibitory Factor Is Markedly Expressed in Active and Early-Stage Endometriotic Lesions 2002
- Aromatase P450 messenger RNA expression in eutopic endometrium is not a specific marker for pelvic endometriosis 2002
- An appraisal of the role of laparoscopy: past, present, and future 2001
- Role of cytokines in endometriosis 2001
- Ectopic endometrial cells express high concentrations of interleukin (IL)-8 in vivo regardless of the menstrual cycle phase and respond to oestradiol by up-regulating IL-1-induced IL-8 expression in vitro 2001
- Are the basic assumptions correct--is endometriosis a progressive, self-destructive disease? 2001
- Role of cytokines in endometriosis 2001
- Endometriosis, Endometrioma, and the Problem of Adhesions 2000
- Laparoscopic surgery for endometriosis: a long-term follow-up 2000
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