Pitfalls in clinical, laparoscopic and histologic diagnosis of endometriosis
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This paper reviews the challenges in clinically, laparoscopically, and histologically diagnosing endometriosis, emphasizing laparoscopy's importance and the need for further research.
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Abstract
Endometriosis frequently presents diagnostic problems. Its symptoms and findings are non-specific and there are no non-invasive diagnostic tests. Laparoscopy is the most valuable diagnostic tool for use in a patient with endometriosis. Laparoscopic evaluation of the pelvis should be thorough, with attention paid to commonly affected but poorly accessible areas. Associated signs such as peritoneal congestion, adhesions and peritoneal defects may be suggestive of endometriosis. In questionable cases, laparoscopic biopsies of suspicious lesions should be performed. Histologic diagnosis of endometriosis is confirmatory of the disease but may sometimes be difficult. Endometriosis continues to present many problems in the area of diagnosis and management, and fully deserves to be studied further.
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References (7)
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Cited by (11)
- Identifying biomarkers for non-invasive diagnosis of endometriosis 2016
- Morphologic Features Suggestive of Endometriosis in Nondiagnostic Peritoneal Biopsies 2015
- Molecular aspects of development and regulation of endometriosis 2014
- Pathophysiology of Infertility in Endometriosis 2011
- Unusual imaging appearances of endometriosis 2009
- "Endometriose do trato gastrointestinal: correlações clínicas e laparoscópicas; papel da corrida dos órgãos peritoneais na endometriose (COPE)" 2005
- Levels of antibodies to transferrin and alpha 2-HS glycoprotein in women with and without endometriosis 1998
- Antibodies to endometrial transferrin and alpha 2-Heremans Schmidt (HS) glycoprotein in patients with endometriosis 1996
- Endometriosis 1989
- Clinical presentation and diagnosis of endometriosis 1989
- Endometriosis, Lesions of the Secondary Müllerian System, and Pelvic Mesothelial Proliferations 1987
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- europepmc
- last seen: 2026-10-16T06:09:50.462052+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T21:58:08.863946+00:00
- unpaywall
- last seen: 2026-10-16T06:24:35.758740+00:00
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