Management of perineal endometriosis

Ching‐Chung Liang, C C Liang, Chang-Yu Tsai, C C Tsai, T.-C. Chen, T C Chen, Y K Soong
International Journal of Gynecology & Obstetrics · 1996 · vol. 53(3) , pp. 261–265 · doi:10.1016/0020-7292(95)02592-8 · PMID:8793629 · W2064504526
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This paper details the diagnosis and management of perineal endometriosis, finding surgical excision of endometriomas curative for six patients diagnosed via clinical symptoms, imaging, and biopsy.

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Abstract

Objective: To demonstrate the appropriate diagnosis and management of perineal endometriosis. Method: Six patients with perineal endometriosis were diagnosed according to their clinical symptoms and signs which included cyclic perineal pain and a tender perineal mass coinciding with the menstrual cycle. Diagnostic tools used included ultrasonography, computerized tomography, fine needle aspiration cytology and laparoscopy. Management comprised both surgical and medical treatment. Postoperative follow-up was carried out at 3-monthly intervals. Results: All six patients were cured following surgical excision of the endometrioma. Conclusion: A detailed history, thorough pelvic examination and sonographic investigation are essential in diagnosing perineal endometriosis. The role of other diagnostic tools remains controversial. Treatment of extrapelvic endometriosis includes surgical intervention and hormonal suppression. If hormonal suppression fails, surgical excision of the perineal endometrioma should be carried out.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Perineum Adult Combined Modality Therapy Danazol Danazol Endometriosis Endometriosis Endometriosis Estrogen Antagonists Estrogen Antagonists Female Follow-Up Studies Humans Time Factors

Citation neighborhood

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.

References (17)

Cited by (29)

Source provenance

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License: CC0 · commercial use OK