Statistical Analysis of Endometriosis in Taiwan

Chien‐Tien Hsu, C T Hsu, W S Chen, Wu-Shang Chen, Y N Lin, Yun-Nan Lin
Asia-Oceania journal of obstetrics and gynaecology · 2010 · vol. 8(3) , pp. 245–252 · doi:10.1111/j.1447-0756.1982.tb00572.x · PMID:7150087 · W2123393295
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This study found increased endometriosis and adenomyosis incidence in Taiwan, with adenomyosis occurring in older women and endometriosis in younger women, and noted a unique association between adenomyosis and uterine cervical cancer.

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Abstract

In the statistical analysis of endometriosis in our present and previous series, no significant geographical or racial peculiarities were noted. As in other parts of the world, the cases where the diagnosis was made prepreoperatively and the total incidence of endometriosis (both types) have increased remarkably. The increase might have been caused by the improvement of socio-economic status, the progress of diagnostic procedures (endoscopy and sonography) and the decrease in the birthrate. Although statistically insignificant in our series, adenomyosis developed in the older age group while endometriosis developed in the younger age group in accordance with the reports in the literature. It is noteworthy that in our series adenomyosis was found in 112 cases (19.19%) among women of age above 50. It seemed that ours was one of the few reports which statistically demonstrated significant difference of parity between endometriosis and adenomyosis. As in the literature, adenomyosis was predominant over endometriosis in incidence. It is noteworthy that only in our series was uterine cervical cancer almost equally high as leiomyoma in indicence as an associated pathology. Because of the predominance of radical hysterectomy for uterine cervical cancer over simple panhysterectomy for other lesions in our hospitals, this might be merely a chance coexistence. The incidence of ademonyosis in endometrial cancer was twice as high as in uterine cervical cancer in our previous series. In view of the absolute predominance of uterine cervical cancer over endometrial cancer here, this finding might be suggestive of some relation between the two which awaits investigation.

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Condition tags

mesh:D004715endometriosisadenomyosis

MeSH descriptors

Endometriosis Pelvic Neoplasms Adult Age Factors Endometriosis Female Humans Middle Aged Parity Pelvic Neoplasms Taiwan

Citation neighborhood

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