Ovarian endometriosis: a form of genital endometriosis or a specific nosological unit

A.I. Davydov, Л.М. Михалева, M.B. Tairova, Olga I. Patsap
In: Voprosy ginekologii, akušerstva i perinatologii · 2019 · vol. 18(5) , pp. 5–12 · doi:10.20953/1726-1678-2019-5-5-12 · W2998397064
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-13 ⓘ

This article discusses the terminology, classification, oncological awareness, and treatment of ovarian endometriomas, which are the most common and ambiguous form of endometriosis, posing a risk for malignization and impacting ovarian tissue.

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This article reviews the terminology, classification, oncological awareness, and treatment considerations for ovarian endometriosis, focusing on the question of whether ovarian endometriosis is best viewed as a form of genital endometriosis or as a distinct nosological entity. It discusses how ovarian endometriomas are classified histologically as endometrioid tumors and notes that endometrioma is associated with the highest risk of malignization via a phase termed atypical endometriosis, partly because an endometrioma can “absorb” functional ovarian tissue. The main limitation is that, as a narrative review, it does not present new empirical data and instead synthesizes existing histological and clinical concepts. This paper is centrally about endometriosis — it addresses ovarian endometrioma terminology/classification and its relationship to atypical endometriosis and malignization risk.

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Ovarian endometriosis: a form of genital endometriosis or a specific nosological unit Aleksandr I. Davydov / Lyudmila V. Mikhaleva / Marina B. Tairova / Оlga I. Patsap / Ovarian endometriosis is the most common and ambiguous form of endometriosis in general. While the majority of endometrial localisations belong to tumour-like conditions, endometrioid ovarian cysts, according to the histological classification of female reproductive organs (WHO, 2014, 4th edition) are referred to endometrioid tumours with the appearance of the term «endometrioma». It is ovarian endometrioma that poses the highest risk for malignization through the phase of atypical endometriosis. Besides, the ability of an endometioma to «absorb» the functional tissue of an ovary enhances the medical and social significance of the problem of ovarian endometriosis. The article discusses the issues of the terminology, classification, oncological awareness and treatment of ovarian endometriomas. Key words: atypical endometriosis, treatment tactics, ovarian endometrioma, endometrioid carcinoma. For citation: Davydov A.I., Mikhaleva L.M., Tairova M.B., Patsap О.I. Ovarian endometriosis: a form of genital endometriosis or a specific nosological unit. Vopr. ginekol. akus. perinatol. (Gynecology, Obstetrics and Perinatology). 2019; 18(5): 5–12. (In Russian). DOI: 10.20953/1726-1678-2019-5-5-12

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