Endometriosis and Cancer Extrauterine Müllerian Adenosarcoma of the Ovary

A clustering of radiologic signs are associated with the presence of ovarian and/or peritoneal endometriosis: some indicate fibrosis of uterosacral ligaments (isthmic desaxation of the uterus, fixed retroversion), othes are linked to dysfunction of the tube (ampullar retention of dye after evacuation, sometimes inducing false aspects of hydrosalpinx), the last ones suggesting peritoneal adhesions (incomplete peritoneal diffusion). All these signs have been systematically studied, independently of the diagnosis, on 154 hysterosalpingograms of infertile patients known to have patent tubes at laparoscopy; in 107 out of these cases endometriosis was diagnosed at laparoscopy; the 47 last cases constituted the control group. The results confirm that all the signs described are significantly more frequent in case of endometriosis, although nonspecific of this condition. On the contrary, neither adenomyosis, tubal diverticulosis, nor intramural polyps are significantly linked to external endometriosis.