Adenomyoseknoten des rektovaginalen septums: eine eigenen entität

Jacques Donnez, Ulrich Steinhart, Michelle Nisolle, Stéphane Gillerot, Mireille Smets, S. Bassil, Françoise Casanas‐Roux
1998 · vol. 8(1) , pp. 12–20 · W1814747020
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This study describes the laparoscopic excision of rectovaginal septum endometriotic nodules, finding them histologically similar to adenomyomas and suggesting they represent a distinct disease entity.

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The paper studied a series of 500 patients undergoing laparoscopy for pelvic pain and/or infertility in which deep rectovaginal septum nodules were excised, followed by histological analysis. The authors report that nodule resection via laparoscopy in 497 patients (and laparotomy in 3) led to considerable pain relief, and that histology showed a circumscribed nodular aggregate of smooth muscle with endometrial glands and stroma resembling an adenomyoma. They further found that variations in estrogen and progesterone receptor content differed from eutopic endometrium, which they interpreted as indicating a regulatory mechanism distinct from normal endometrial tissue. The paper concludes that these lesions represent a distinct entity arising from Müllerian rests in the rectovaginal septum, relevant to endometriosis and adenomyosis; specifically, it is centrally about adenomyosis nodules of the rectovaginal septum described as a distinct entity.

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Abstract

Objective: Laparoscopic procedure with excision of deep fibrotic\nendometriotic nodules of the rectovaginal septum and histological\nstudy of the lesions. \nSetting:\nAn academic teaching hospital.\nPatients: A series of 500 patients underwent a laparoscopy for\npelvic pain and/or infertility.\nResults: Laparoscopic (n = 497) and laparotomic (n = 3) excision\nof endometriotic nodules was performed on a series of 500\npatients. The nodule resection resulted in considerable pain\nrelief. Histologically, the rectovaginal nodale was similar to an\nadenomyoma as it was a circumscribed nodular aggregate of smooth muscle and endometrial glands and stroma. The variations in estrogen receptor (ER) and progesterone receptor (PR) content suggested a regulatory mechanism different from that of eutopic endometrium. Conclusion: This form of disease should be considered as a distinct entity, different from peritoneal and ovarian endometriosis, and\noriginating from the Müllerian rests present in the rectovaginal septum.
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Adenomyoseknoten des rektovaginalen septums: eine eigenen entität (1998) Journal für Fertilität und Reproduktion — Vol. 8, n° 1, p. 12-20 (1998) (1998) Journal für Fertilität und Reproduktion — Vol. 8, n° 1, p. 12-20 (1998) - Authors - Author Donnez, Jacques UCLouvain - Author Steinhart, Ulrich UCLouvain - Author Nisolle, Michelle UCLouvain - Author Gillerot, Stéphane UCLouvain - Author Smets, Mireille UCLouvain - Author Bassil, Salim UCLouvain - Author Casanas-Roux, Françoise UCLouvain - Abstract - Objective: Laparoscopic procedure with excision of deep fibrotic endometriotic nodules of the rectovaginal septum and histological study of the lesions. Setting: An academic teaching hospital. Patients: A series of 500 patients underwent a laparoscopy for pelvic pain and/or infertility. Results: Laparoscopic (n = 497) and laparotomic (n = 3) excision of endometriotic nodules was performed on a series of 500 patients. The nodule resection resulted in considerable pain relief. Histologically, the rectovaginal nodale was similar to an adenomyoma as it was a circumscribed nodular aggregate of smooth muscle and endometrial glands and stroma. The variations in estrogen receptor (ER) and progesterone receptor (PR) content suggested a regulatory mechanism different from that of eutopic endometrium. Conclusion: This form of disease should be considered as a distinct entity, different from peritoneal and ovarian endometriosis, and originating from the Müllerian rests present in the rectovaginal septum. - Affiliations - APA - Chicago - FWB Donnez, J., Steinhart, U., Nisolle, M., Gillerot, S., Smets, M., Bassil, S., & Casanas-Roux, F. (1998). Adenomyoseknoten des rektovaginalen septums: eine eigenen entität. Journal für Fertilität und Reproduktion, 8(1), 12-20. https://hdl.handle.net/2078.5/156333 (Original work published 1998)

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