Ovarian endometriosis associated with ovarian cancer and endometrial–endocervical polyps

Kontoravdis A, Antonios Kontoravdis, A. Kontoravdis, Areti Augoulea, Augoulea A, Ιrene Lambrinoudaki, Irene Lambrinoudaki, Christodoulakos G, George Christodoulakos, Dimitrios Tzortziotis, Tzortziotis D, Grammatikakis I, Ioannis Grammatikakis, Kontoravdis N, Nikolaos Kontoravdis, Creatsas G, George Creatsas
Journal of Obstetrics and Gynaecology Research · 2007 · vol. 33(3) , pp. 294–298 · doi:10.1111/j.1447-0756.2007.00527.x · PMID:17578358 · W2100960075
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This retrospective analysis of 667 women with moderate or severe ovarian endometriosis found a 2.0% incidence of ovarian cancer and a 5.3% incidence of endometrial or endocervical polyps.

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Abstract

AIM: To determine the prevalence of ovarian cancer and endometrial polyps in women with moderate and severe ovarian endometriosis. METHODS: A retrospective analysis of 667 cases of moderate and severe endometriosis laparoscopically and histologically confirmed during the period 1997-2004. RESULTS: One hundred and ninety-three (29%) of cases were American Fertility Society (AFS) stage III (moderate endometriosis) and 473 (71%) were AFS stage IV (severe endometriosis). Ovarian cancer was diagnosed in 13 cases (2.0%), while an endometrial or endocervical polyp was identified in 35 cases (5.3%). The incidence of endometrial polyps in the group with moderate endometriosis tended to be higher (15/193, 7.8%) than in the group with severe endometriosis (20/473, 4.2%), and the same results were obtained in the ovarian cancer group (moderate: 6/193, 3.1%; severe: 7/473, 1.5%). However, neither of the two differences was statistically significant. CONCLUSIONS: Ovarian endometriosis may be associated with an increased incidence of both ovarian cancer and endometrial polyps. Careful evaluation for coexistent pathology should be undertaken in women with symptomatic endometriosis.

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Condition tags

endometriosis

MeSH descriptors

Adenocarcinoma, Clear Cell Carcinoma, Endometrioid Endometriosis Ovarian Neoplasms Polyps Uterine Diseases Adenocarcinoma, Clear Cell Adenocarcinoma, Clear Cell Adolescent Adult Aged Carcinoma, Endometrioid Carcinoma, Endometrioid Case-Control Studies Endometriosis Female Greece Greece Humans Middle Aged

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