Die zytologische Diagnose der Endometriose im Direktabstrich

A. Forsat, K. Bühler, H. Forsat, A. E. Schindler
In: Gynäkologie und Geburtshilfe 1990 · 1991 · pp. 1030–1031 · doi:10.1007/978-3-642-76124-9_535 · W2499490789
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This study investigated whether a direct cytological smear could provide microscopic evidence of endometriosis, aiming to avoid misdiagnoses from macroscopic laparoscopic impressions or risky biopsies.

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This study investigates whether direct cytological smears can provide a microscopic diagnosis of endometriosis, aiming to avoid the risks associated with biopsies in areas near vital structures like the bowel or ureters. The authors sought to determine if this less invasive method could reliably confirm the ectopic presence of endometrial glands and stroma that typically requires histological verification. The paper explores the potential utility of cytology as an alternative diagnostic tool when surgical biopsy poses significant safety concerns. This paper is centrally about endometriosis — specifically evaluating a cytological method for its diagnosis to complement or replace invasive biopsy procedures.

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Zusammenfassung Endometriose ist definiert als das ektope Auftreten endometrialer Drüsen und zytogenen Stromas, was letztlich eine histologische Diagnose darstellt (Brosens et al. 1987, Portuondo et al. 1982, Wilson 1987). Häufig stützt sich die Diagnose der Endometriose aber nur auf den makroskopischen Eindruck bei der Laparoskopie. Biopsien bergen auf der anderen Seite ein besonderes Risiko, wenn sich die Endometrioseherde über Strukturen befinden wie Darm, Ureter, Ligamentum infundibulopelvicum. Um Fehldiagnosen zu vermeiden, haben wir mit dieser Studie zu klären versucht, ob der zytologische Direktabstrich eine Möglichkeit darstellt, einen mikroskopischen Nachweis der Endometriose zu erbringen. Similar content being viewed by others Literatur Brosens IA, Cornilie FJ (1987) Peritoneal endometriosis. Contr Gynecol Obstet 16:125–137 Portuondo JA, Herrán C, Echanojauregui AD, Riego AG (1982) Peritoneal flushing and biopsy in laparoscopically diagnosed endometriosis. Fertil Steril 38:538–541 Semm K (1984) Operationslehre für endoskopische Abdominalchirurgie. Schattauer, Stuttgart New York Soost HJ, Baur S (1980) Gynäkologische Zytodiagnostik. 4. Auflage. Thieme, Stuttgart New York Takahashi M (1989) Color atlas of cancer cytology. 2nd edition. Thieme Verlag, Stuttgart New York Wilson EA (1987) Endometriosis. Liss, Inc, New York Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 1991 Springer-Verlag, Berlin Heidelberg New York About this paper Cite this paper Forsat, A., Bühler, K., Forsat, H., Schindler, A.E. (1991). Die zytologische Diagnose der Endometriose im Direktabstrich. In: Hickl, EJ., Berg, D. (eds) Gynäkologie und Geburtshilfe 1990. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-76124-9_535 Download citation DOI: https://doi.org/10.1007/978-3-642-76124-9_535 Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-642-76125-6 Online ISBN: 978-3-642-76124-9 eBook Packages: Springer Book Archive

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