Lselectin Levels in Patients with Endometriosis

Melkiandri Fanggidae, Maria Loho, Maya Mewengkang
In: Indonesian Journal of Obstetrics and Gynecology · 2018 · pp. 50 · doi:10.32771/inajog.v6i1.758 · W2888523948
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This cross-sectional study found that while L-selectin levels increased with endometriosis clinical stage, the difference was not statistically significant, nor was there a significant relationship between age and disease stage or L-selectin levels.

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This cross-sectional study investigated serum L-selectin levels in eighteen women diagnosed with endometriosis using imaging and clinical examination prior to surgery. The researchers measured L-selectin concentrations via enzyme-linked immunosorbent assay and analyzed correlations with patient age, parity, and disease stage. Although L-selectin levels appeared to increase with higher clinical stages, statistical testing revealed no significant relationship between these levels and disease severity, age, or parity. This paper is centrally about endometriosis — specifically examining the association between L-selectin biomarkers and clinical staging in affected patients.

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Abstract

Objective: To investigate the L-selectin profile in endometrioticpatients.Methods: This was a cross-sectional study. Subjects were patientsdiagnosed endometriosis based on clinical examination, transvaginalultrasound, MRI and CT scan at the Department of Obstetricsand Gynecology of Prof. Dr. R.D. Kandou Hospital Manado, SiloamHospital and Network Hospital starting from January 2017 to May2017. The blood samples in patients prior to surgery were taken ona vein and then separated to obtain serum. Further more, serumlevels of L-selectin were measured using enzyme-linked immunosorbentassay (ELISA). Data were analyzed with SPSS version 22.0to see significance level.Results: Of the 18 samples, based on age, endometriosis highest inthe group > 26 years ie 17 patients (94.44%), followed by the agegroup of 21-25 years in 1 patient (5:56%), and none of thepatients in the age group 4 (0%). Based on the highest stage is thethird stage as many as 11 people (61.11%), followed by stage 4 of7 patients (38.99%), and none of the patients in stage 1 or stage 2(0%). From a statistical test used to stage endometriosis age, theT test, p value 0.286. From a statistical test according to the levelsof L-selectin on endometriosis stadium used, the T test, p value0.090. Results of correlation tests were used, namely statingPearson test p value of 0.921.Conclusion: L-selectin levels in women with endometriosisincreased according to clinical stage, but not significant in statisticaltests. There is no significant relationship between age withstages or levels of L-selectin in women with endometriosis.Keywords: adhesion, age, endometriosis, L-selectin, stage
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Objective

To investigate the L-selectin profile in endometriotic patients.

Methods

This was a cross-sectional study. Subjects were patients diagnosed endometriosis based on clinical examination, transvaginal ultrasound, MRI and CT scan at the Department of Obstetrics and Gynecology of Prof. Dr. R.D. Kandou Hospital Manado, Siloam Hospital and Network Hospital starting from January 2017 to May 2017. The blood samples in patients prior to surgery were taken on a vein and then separated to obtain serum. Further more, serum levels of L-selectin were measured using enzyme-linked immunosorbent assay (ELISA). Data were analyzed with SPSS version 22.0 to see significance level.

Results

Of the 18 samples, based on age, endometriosis highest in the group > 26 years ie 17 patients (94.44%), followed by the age group of 21-25 years in 1 patient (5:56%), and none of the patients in the age group 4 (0%). Based on the highest stage is the third stage as many as 11 people (61.11%), followed by stage 4 of 7 patients (38.99%), and none of the patients in stage 1 or stage 2 (0%). From a statistical test used to stage endometriosis age, the T test, p value 0.286. From a statistical test according to the levels of L-selectin on endometriosis stadium used, the T test, p value 0.090. Results of correlation tests were used, namely stating Pearson test p value of 0.921.

Conclusion

L-selectin levels in women with endometriosis increased according to clinical stage, but not significant in statistical tests. There is no significant relationship between age with stages or levels of L-selectin in women with endometriosis.

Keywords

adhesion, age, endometriosis, L-selectin, stage

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endometriosis

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