[Is extrauterine endometriosis confined to the gynecological sphere? A critical review of the experience in a general surgery unit]

Massimo De Falco, De Falco M, M De Falco, Ragusa M, M Ragusa, Maria Alessandra Ragusa, G. Oliva, Oliva G, Antônio Carlos de Oliveira Miranda, Miranda A, A Miranda, Domenico Parmeggiani, D Parmeggiani, Parmeggiani D, Sperlongano P, Pasquale Sperlongano, P Sperlongano, Accardo M, M Accardo, F. Calzolari, Calzolari F, C Misso, Claudia Misso, Misso C, Martine Monacelli, Monacelli M, M Monacelli, Avenia N, N Avenia, Nicola Avenia
Il Giornale di chirurgia · 2007 · vol. 28(3) , pp. 83–92 · PMID:17419904 · W1527813340
Review OA: closed CC0 ⤵ 8 in-corpus citations
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This review analyzes seven cases of extrauterine endometriosis in a general surgery unit, discussing diagnostic challenges, extent of resection, malignant degeneration, and abdominal wall scar localization.

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Abstract

Extrauterine or external endometriosis (e.e.) describes ectopic localization of functional endometrial tissue, a finding whose incidence is increasing due to the diffusion of laparoscopic procedures. The clinical presentation of such disease is often non-specific, even in those cases with a definite surgical indication, depending on the site and pathology of the lesions. Surgical planning is therefore difficult at times, specifically regarding the extent of resection in patients--as young women--willing to maintain fertility. The Authors report on 7 cases observed in their own experience (inguinal endometriosis--1 case, umbilical endometriosis--1 case, abdominal wall endometriosis--3 cases, intestinal endometriosis--1 case, diaphragmatic endometriosis associated with pneumothorax--1 case), representing the wide range of clinical settings related to e.e. Based on literature data, an analysis of clinical and diagnostic issues is carried out. Specifically, the problems related to extent of surgical resection in multifocal cases, possible malignant degeneration and localization on abdominal wall scars are discussed.

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Condition tags

endometriosisthoracic_endometriosis

MeSH descriptors

Endometriosis Endometriosis Genital Neoplasms, Female Genital Neoplasms, Female Adult Adult Endometriosis Endometriosis Female Female Genital Neoplasms, Female Genital Neoplasms, Female Humans Humans

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References (32)

Cited by (8)

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License: CC0 · commercial use OK