Pathological Aspect and Pathogenesis of Endometriosis

In: Endometriosis · 2014 · pp. 9–18 · doi:10.1007/978-4-431-54421-0_2 · W89778104
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Endometriosis pathogenesis is controversial, with major theories including endometrial tissue transplantation, metaplasia, and müllerian remnants, necessitating a deeper understanding for novel treatments.

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This Springer chapter reviews the pathological aspects and competing theories of endometriosis pathogenesis, noting that the disease’s underlying histopathogenesis remains controversial despite extensive basic and clinical research. It outlines three major frameworks: ectopic metastasis of endometrial tissue (transplantation), metaplastic development of endometrial tissue at ectopic sites, and transformation of embryonic Müllerian duct remnants epithelium into endometrial epithelium, emphasizing the need for comprehensive understanding. As a limitation, the chapter explicitly states that a consensus pathogenesis has not been established. This paper is centrally about endometriosis — it focuses on pathological aspects and competing theories of endometriosis pathogenesis.

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Abstract

Historically, endometriosis was first described in Egyptian scrolls in the sixteenth century bc. The first scientific description of endometriosis was published by Carl Freiherr von Rokitansky in 1860. At this time, the concept of endometriosis as a disease entity was not established and it was assumed to be an enigmatic disease with an unknown pathology. Although extensive basic and clinical research has been carried from the last century until present, the pathogenesis of endometriosis is still controversial. Major theories on the pathogenesis of endometriosis are (1) metastases of endometrial tissues to an ectopic location (transplantation theory), (2) metaplastic development of endometrial tissue on the ectopic site (metaplastic theory), and (3) changes of the embryonic duct remnant epithelium into endometrial epithelium (müllerian remnants theory). A comprehensive understanding of the histopathogenesis of endometriosis is essential to the novel clinical approaches for the enigmatic disease. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

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Springer, Tokyo. https://doi.org/10.1007/978-4-431-54421-0_2 Download citation DOI: https://doi.org/10.1007/978-4-431-54421-0_2 Published: Publisher Name: Springer, Tokyo Print ISBN: 978-4-431-54420-3 Online ISBN: 978-4-431-54421-0 eBook Packages: MedicineMedicine (R0)

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