Histologic Appearance of Endometriosis Infiltrating Uterosacral Ligaments in Women with Painful Symptoms

Hélène Bonte, Bonte H, Chapron C, Charles Chapron, Vieira M, Marco Vieira, Arnaud Fauconnier, Fauconnier A, Barakat H, Habib Barakat, Xavier Fritel, Marie-Cécile Vacher-Lavenu, Marie‐Cécile Vacher‐Lavenu, Vacher-Lavenu MC, Dubuisson JB, Jean-Bernard Dubuisson
The Journal of the American Association of Gynecologic Laparoscopists · 2002 · vol. 9(4) , pp. 519–524 · doi:10.1016/s1074-3804(05)60530-0 · PMID:12386367 · W2089234296
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This study examined the microscopic features of endometriosis within the uterosacral ligaments of women experiencing painful symptoms.

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Abstract

Study objectiveTo describe the histologic appearance of deep endometriosis infiltrating the uterosacral ligaments (USL).DesignRetrospective analysis (Canadian Task Force classification II-2).SettingUniversity-affiliated hospital.PatientsOne hundred forty-nine women with pain due to endometriosis.InterventionResection of one or both USL.Measurements and main resultsOne hundred seventy-two USL were examined by histology after unilateral resection in 126 patients (84.6%) and bilateral resection in 23 (15.4%). Two-thirds of women (122, 70.9%) had a classic appearance of endometriosis. Lesions of myoproliferative endometriosis with a histologic appearance of so-called adenomyotic nodules were observed in 25 (14.5%). Associated fibrosis was most frequent in patients with positive compared with negative histology (85, 69.7% vs 18, 36.0%).ConclusionAnatomicopathologic lesions of deep endometriosis infiltrating the USL are heterogeneous. Adenomyotic nodules are not frequently observed.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Broad Ligament Broad Ligament Endometriosis Endometriosis Pelvic Pain Biopsy, Needle Broad Ligament Cohort Studies Culture Techniques Endometriosis Female Humans Immunohistochemistry Laparoscopy Laparoscopy Pelvic Pain Pelvic Pain Retrospective Studies Sensitivity and Specificity Severity of Illness Index

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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