Selection of medical or surgical treatment of endometriosis

F M Ingersoll, Francis M. Ingersoll, Ingersoll FM
Clinical Obstetrics and Gynecology · 1977 · vol. 20(4) , pp. 849–864 · doi:10.1097/00003081-197712000-00009 · PMID:606455 · W2007256964
Review OA: closed CC0 ⤵ 8 in-corpus citations
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This paper proposes a four-stage classification for endometriosis to guide the selection of surgical, hormonal, or combined treatments and assess therapeutic success, noting a correlation between disease stage and conception rates.

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Abstract

The use of the culdoscope and now the laparoscope has made the accurate diagnosis of endometriosis possible so that each case can be clinically staged. A suggested staging of endometriosis similar to that used for carcinoma of the cervix, i.e., consisting of four stages, is proposed. Surgical or hormonal treatment, or a combination of both, can be chosen on the basis of the stage of the disease. Success of therapy can be determined and compared to results of other investigators using the same staging or classification. The choice and extent of surgical treatment, stage for stage, is discussed. The several hormonal regimens, progestins alone, progestins plus estrogen or danazol, are outlined. Previously reported results in the treatment of endometriosis demonstrated a close correlation between stage of disease and percentage of patients who conceive.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Androgens Androgens Androgens Drug Combinations Drug Combinations Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Estrogens Estrogens Estrogens Female Female Humans Humans Neoplasm Staging Neoplasm Staging

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

Cited by (8)

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