Typical and subtle atypical presentations of endometriosis

Donnez J, Jacques Donnez, Anne Van Langendonckt, Van Langendonckt A
Current opinion in obstetrics & gynecology · 2004 · vol. 16(5) , pp. 431–7 · doi:10.1097/00001703-200410000-00013 · PMID:15353954
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This review examines typical and atypical endometriosis presentations, confirming non-visible disease existence and exploring reactive oxygen species in pathogenesis to explain increased diagnosis rates through improved surgical detection.

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This review examines the spectrum of endometriosis presentations, distinguishing between typical lesions, subtle atypical forms, and non-visible disease. The authors argue that improved surgical detection capabilities and a deeper understanding of pathogenic factors, such as reactive oxygen species, explain the rising diagnosis rates. They emphasize that recognizing these varied manifestations is crucial for accurate identification and management of the condition. This paper is centrally about endometriosis — specifically focusing on the classification and detection of typical versus subtle or invisible lesions during endoscopic evaluation.

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Abstract

PURPOSE OF REVIEW: To review the concept of typical, subtle and invisible endometriosis and analyze the evolution and progression of the disease, as well as some factors possibly involved in the pathogenesis. RECENT FINDINGS: Although rejected by Redwine, the concept of non-visible endometriosis has been proven to exist. Some new ideas on the implication of reactive oxygen species in the development of endometriosis and its early stages are described here. SUMMARY: The increased diagnosis of endometriosis can be explained not only by the increased experience and ability of the surgeon to detect typical and non-typical endometriotic lesions, but also by a better understanding of the pathogenesis.
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Endoscopic surgery Typical and subtle atypical presentations of endometriosis - Jacques Donnez - Anne Van Langendonckt Current Opinion in Obstetrics & Gynecology 16(5):p 431-437, October 2004. Purpose of review To review the concept of typical, subtle and invisible endometriosis and analyze the evolution and progression of the disease, as well as some factors possibly involved in the pathogenesis. Recent findings Although rejected by Redwine, the concept of non-visible endometriosis has been proven to exist. Some new ideas on the implication of reactive oxygen species in the development of endometriosis and its early stages are described here. Summary The increased diagnosis of endometriosis can be explained not only by the increased experience and ability of the surgeon to detect typical and non-typical endometriotic lesions, but also by a better understanding of the pathogenesis. Copyright © 2004 Lippincott Williams & Wilkins, Inc.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Peritoneal Diseases Endometriosis Endometriosis Endometriosis Erythrocytes Erythrocytes Erythrocytes Female Female Humans Humans Iron Iron Iron Iron Overload Iron Overload Iron Overload Menstruation Menstruation

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