Ultrastructure of Ectopic Peritoneal Lesions From Women With Endometriosis, Including Observations on the Contribution of Coelomic Mesothelium

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Ultrastructural analysis of ectopic endometriotic lesions revealed glandular morphologies indicating delayed maturation and evidence of mesothelial invasion potentially contributing to gland development.

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The study examined ectopic peritoneal lesions in 17 women with endometriosis using electron microscopy, with some biopsies also assessed for intermediate filaments by immunohistochemistry, building on observations from a baboon endometriosis model. Lesions displayed multiple glandular ultrastructural morphologies and showed indications of delayed maturation compared with normal endometrium, and some were covered by mesothelium with evidence of mesothelial invasion into the stroma. The authors report ultrastructural differences between ectopic endometriotic lesions and eutopic endometrium, suggesting that mesothelial invasion may contribute to gland development in some lesions. The paper’s main limitation is that it is observational and based on fixed biopsy material rather than directly testing causality or functional outcomes of mesothelial invasion. This paper is centrally about endometriosis — it uses ultrastructural analysis of ectopic peritoneal endometriotic lesions and specifically examines how coelomic/mesothelial invasion may contribute to gland development.

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Abstract

Following a study in a baboon model of endometriosis, we here describe the morphology of ectopic peritoneal lesions in the human to examine the effects of an ectopic site on glandular structure and function. Ectopic biopsies from 17 women with endometriosis were fixed and processed for electron microscopy. Certain biopsies were also probed for intermediate filaments using immunohistochemistry. Ultrastructurally, lesions showed many different glandular morphologies with indications of delayed maturation compared to normal endometrium. Mesothelium covered some lesions and there was evidence of mesothelial invasion into the stroma. Ectopic endometriotic lesions from women with endometriosis showed ultrastructural differences from eutopic endometrium, with indications that mesothelial invasion may contribute to gland development in some lesions. Similar content being viewed by others

References

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Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Jones, C.J.P., Nardo, L.G., Litta, P. et al. Ultrastructure of Ectopic Peritoneal Lesions From Women With Endometriosis, Including Observations on the Contribution of Coelomic Mesothelium. Reprod. Sci. 16, 43–55 (2009). https://doi.org/10.1177/1933719108324891 Published: Issue date: DOI: https://doi.org/10.1177/1933719108324891

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Endometriosis Biopsy Endometriosis Epithelium Epithelium Epithelium Female Humans Immunohistochemistry Microscopy, Electron Peritoneum Peritoneum Peritoneum

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