Staging of Pelvic Endometriosis: Role of Sonographic Appearance in Determining Extension of Disease and Modulating Surgical Approach

Caterina Exacoustos, C. Exacoustós, Errico Zupi, Carusotti C, C. Carusotti, Claudia Carusotti, Rinaldo D, Donatella Rinaldo, D. Rinaldo, Marconi D, Daniela Marconi, Lanzi G, G Lanzi, Giulio Lanzi, Domenico Arduini, Arduini D
The Journal of the American Association of Gynecologic Laparoscopists · 2003 · vol. 10(3) , pp. 378–382 · doi:10.1016/s1074-3804(05)60266-6 · PMID:14567816 · W2124586995
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Ultrasonographic findings of ovarian endometriomas and other pelvic markers accurately predicted the stage and extension of endometriosis in women compared to laparoscopic staging.

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Abstract

Study objectiveTo estimate whether laparoscopic staging of endometriosis can be predicted by ultrasound findings.DesignProspective study (Canadian Task Force classification II-2).SettingObstetrics and Gynecology Department, University of Rome Tor Vergata.PatientsOne hundred twenty-one women with histologically confirmed sonographic diagnosis of endometriomas.InterventionsUltrasonographic staging and laparoscopic assessment.Measurements and main resultsAll patients underwent transvaginal and/or transrectal sonographic evaluation of ovarian endometriomas and other sonographic markers (anatomic sites and their relation to abdominovaginal palpation, adhesions, deep or infiltrating nodules) to stage the disease before surgery. These results were compared with laparoscopic staging. Concordance between methods was 83.5%. Specificity and sensitivity of ultrasonographic staging of stages 3 and 4 disease were 86% and 82% and 76% and 91%, respectively.ConclusionUltrasonographic findings can predict pelvic extension and stage of endometriosis.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Laparoscopy Ovarian Diseases Adult Endometriosis Endometriosis Female Humans Ovarian Diseases Ovarian Diseases Pelvis Predictive Value of Tests Sensitivity and Specificity Ultrasonography

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