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This review discusses the development of endometriotic implants, noting similarities to neoplasia and the involvement of both intrinsic endometrial factors and host alterations.
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Abstract
Although the exact etiology of endometriosis is unknown, several hypotheses about its origin exist. Of these, Sampson's theory of retrograde menstruation is the most widely accepted. Multiple in-vitro and in vivo models have been developed to study endometriosis. Several key steps are required to establish an endometriotic implant: presence of ectopic endometrial glands and stroma, attachment of endometrial cells to the peritoneum, invasion into the mesothelium, and survival and growth of the ectopic tissue. Many of these steps are similar to those associated with neoplasia, and numerous biologic pathways are involved. It is likely that both intrinsic factors within the ectopic endometrium and permissive alterations within the host are important to the development of endometriosis.
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Cited by (28)
- Endometriosis 2025
- Endometriosis: pathophysiology, market analysis, and research landscape 2024
- Myxoid Endometriosis: An Entity That Can Cause Confusion with Malignant Entities 2023
- A Typical Presentation of Cesarean Section Scar Endometriosis: A Case Report 2023
- Expression Profiles of Genes Related to Development and Progression of Endometriosis and Their Association with Paraben and Benzophenone Exposure 2023
- A Review of Urinary Tract Endometriosis 2022
- Additional file 5 of Single-cell analysis of menstrual endometrial tissues defines phenotypes associated with endometriosis 2022
- Additional file 2 of Single-cell analysis of menstrual endometrial tissues defines phenotypes associated with endometriosis 2022
- Single-cell analysis of menstrual endometrial tissues defines phenotypes associated with endometriosis 2022
- Single cell analysis of menstrual endometrial tissues defines phenotypes associated with endometriosis 2022
- Additional file 6 of Single-cell analysis of menstrual endometrial tissues defines phenotypes associated with endometriosis 2022
- Phoenixin as a New Target in the Development of Strategies for Endometriosis Diagnosis and Treatment 2021
- Genitourinary manifestations of endometriosis with emphasis on the urinary tract 2020
- Increased expression of epithelial cell adhesion molecule and its possible role in epithelial–mesenchymal transition in endometriosis 2020
- Endometriosis: Ancient Disease, Ancient Treatments 2020
- Human chorionic gonadotropin induces decidualization of ectopic human endometrium more effectively than forskolin in an <i>in-vivo</i> endometriosis model 2018
- Endometriosis and Epigenetics: What do we Know? 2018
- Pelvic Endometriosis: Spectrum of Magnetic Resonance Imaging Findings 2015
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- europepmc
- last seen: 2026-06-04T01:30:01.192114+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-05-13T22:17:12.951333+00:00
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