Critérios de diagnóstico de endometriose por ecografia – estado da arte

e Métodos: Foi realizado um estudo retrospetivo dos artigos publicados nas revistas científicas sobre o tema Endometriose, quer sobre endometriomas quer sobre endometriose profunda. Resultados: Estão descritos os resultados de achados ecográficos de endometriomas, endometriose da parede abdominal e endometriose profunda publicados por diferentes autores nos últimos anos. Documentamos com imagens recolhidas no Serviço de Radiologia do IPOLFG. Conclusões: Os estudos demonstram que a ecografia transvaginal é, pelo menos, tão sensível e específica como a RM na detecção de implantes profundos de endometriose, sendo portanto o exame de primeira linha em casos de suspeita de endometriose.

Ultrasound is always the first line diagnostic tool in the evaluation of patients with endometriosis. Given the discrepancy criteria for the diagnosis of this disease by this technique, the aim of this paper was to collect data from the most recent literature on this topic and write a brief compilation of the findings of different authors. Material and Methods: We conducted a retrospective study of articles published in scientific journals on the subject endometriosis, endometriomas or on deep endometriosis. Results: The sonographic findings of endometriomas, endometriosis of the abdominal wall and deep endometriosis published by different authors in recent years are described. We documented with pictures collected in the Department of Radiology of the IPOLFG. Conclusions: The studies demonstrate that the transvaginal ultrasound is at least as sensitive and specific as MRI detection of deep implants of endometriosis, therefore the examination of the first row in suspected cases of endometriosis.

Ultrasound is always the first line diagnostic tool in the evaluation of patients with endometriosis. Given the discrepancy criteria for the diagnosis of this disease by this technique, the aim of this paper was to collect data from the most recent literature on this topic and write a brief compilation of the findings of different authors. Material and Methods: We conducted a retrospective study of articles published in scientific journals on the subject endometriosis, endometriomas or on deep endometriosis. Results: The sonographic findings of endometriomas, endometriosis of the abdominal wall and deep endometriosis published by different authors in recent years are described. We documented with pictures collected in the Department of Radiology of the IPOLFG. Conclusions: The studies demonstrate that the transvaginal ultrasound is at least as sensitive and specific as MRI detection of deep implants of endometriosis, therefore the examination of the first row in suspected cases of endometriosis. Descrição Palavras-chave Endometriose Endometrioma Adenomiose Ecografia Endometriosis Endometriomas Adenomyosis Ultrasound Contexto Educativo Citação Luciana Barbosa; Teresa Margarida Cunha. Ultrassonography Diagnosis Criteria of Endometriosis – State of the Art, Acta Radiológica Portuguesa, 25, 98, 23-28, 2013.