[Paraclinical studies of endometriosis].

D Tardif, C Poncelet, Bénifla Jl, J L Bénifla, P Madelenat, P Madélénat
La Revue du praticien · 1999 · vol. 49(3) , pp. 263–8 · PMID:10189794 · W2463844390
article OA: closed CC0 ⤵ 6 in-corpus citations
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Paraclinical studies, including CA 125 levels and various imaging techniques, aid in diagnosing endometriosis, assessing its extent, and monitoring treatment, with laparoscopy serving as the definitive diagnostic procedure.

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Abstract

Investigations are performed in women with external endometriosis to confirm the diagnosis and to evaluate extension of the disease before treatment. Elevated serum CA 125 level is correlated with the severity of the disease. CA 125 may be a helpful to assess the efficacy of the treatment or to detect recurrences. Imaging diagnosis of endometriosis have a good sensitivity to detect cysts and nodes forms of the disease. Magnetic resonance imaging is more sensitive than ultrasonography to detect small nodular lesion and is able to made the diagnosis of deeply infiltrating endometriosis (sometimes not visualised by laparoscopy). Rectal endosonography, barium enema or excretion urography can be usefull if an involvement of the rectosigmoid or the bladder is suspected. Hysterosalpingography is an integral part of the initial fertility survey, but shows only indirect signs of endometriosis. Laparoscopy is the definitive diagnosis procedure for endometriosis, and permit to classify the lesions and to draw-up a therapeutic strategy.

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Condition tags

endometriosis

MeSH descriptors

Diagnostic Imaging Endometriosis Barium Sulfate CA-125 Antigen CA-125 Antigen Contrast Media Endometriosis Endometriosis Endometriosis Endometriosis Endosonography Enema Female Humans Hysterosalpingography Laparoscopy Magnetic Resonance Imaging Patient Care Planning Recurrence Sensitivity and Specificity

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