Diagnostik und Therapie der Endometriose

In: Gießener Gynäkologische Fortbildung 2001 · 2002 · pp. 154–159 · doi:10.1007/978-3-642-59375-8_25 · W23659762
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AI-generated summary by claude@2026-06+body, 2026-06-13

Endometriosis is defined as endometrial tissue outside the uterus, and its diagnosis still relies on history, laparoscopy, biopsy, and histology, followed by therapy.

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The paper defines endometriosis as implantation of endometrial glands and stroma outside the uterine cavity and myometrium, and it reviews diagnostic and therapeutic management rather than presenting new experimental data. It states that there have been no major new diagnostic concepts in recent years and maintains a stepwise approach of anamnesis with symptomatology, followed by laparoscopy, biopsy, histology, and then therapy. A limitation explicitly acknowledged by its framing is the lack of updated diagnostic innovations, implying continued reliance on the established algorithm. This paper is centrally about endometriosis — it focuses on defining the condition and outlining the contemporary diagnostic and therapeutic pathway.

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Zusammenfassung Die Endometriose wird definiert als Absiede-lung von Endometriumdrüsen und -stroma außerhalb des Cavum uteri und des Myometriums. Zur Diagnose haben sich in den letzten Jahren keine wesentlichen neuen Gesichtspunkte ergeben, so dass unverändert das Vorgehen gilt: Anamnese mit Symptomatologie ⇒ Laparoskopie ⇒ Biopsie ⇒ Histologie ⇒ Therapie. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others Literatur Andersson S, Geisler VM, Wu L, Davis DL, Grum-bach MM, New MI, Schwarz HW et al. (1996) Molecular genetics and pathophysiology of 17β-hydro-xysteroid dehydrogenase 3 deficiency. J Clin Endocrinol Metab 81:130–136 Lessey BA, Castelbaum AJ, Sawein SW, Buck CA, Schinnar R, Bilker W, Strom BL (1994) Aberrant integrin expression in the endometrium of women with endometriosis. J Clin Endocrinol Metab 79: 643–649 Noble LS, Simpson ER, Johns, Bulun SE (1996) Aromatase expression in endometriosis. J Clin Endocrinol Metab 81: 174–179 Noble LS, Takayama K, Zeitoun M, Putman JM, Johns DA, Hinshelwood MM, Agarval VR et al. (1997) Prostaglandin E2 stimulates aromatase expression in endometriosis-derived stroma cells. J Clin Endocrinol Metab 82: 600–606 Sharpe-Timms KL, Penney LL, Zimmer RL, Wright JA, Zhang Y, Surewicz K (1995) Partial purfication and amino acid sequence analysis of endometriosis protein-II (ENDO-II) reveals homology with tissue inhibitor of metalloproteinases-I (TMP-I). J Clin Endocrinol Metab 80: 3784–3787 Takayama K, Zeitoun K, Gunby RT, Sasano H, Karr BR, Bulun SE (1998) Treatment of severe postmenopausal endometriosis with aromatase inhibitor. Fertil Steril 89: 709–713 Zeitoun K, Takayama K, Sasano H, Suzuki T, Moghrabi N, Andersson S, Johns A et al. (1998) Deficient 17β-hydroxysteroid dehydrogenase type 2 expression in endometriosis: failure to metabolize 17β-estradiol. J Clin Endocrinol Metab: 83: 4474–4480 Editor information Editors and Affiliations Rights and permissions Copyright information © 2002 Springer-Verlag Berlin Heidelberg About this paper Cite this paper Husmann, F. (2002). Diagnostik und Therapie der Endometriose. In: Künzel, W., Kirschbaum, M. (eds) Gießener Gynäkologische Fortbildung 2001. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59375-8_25 Download citation DOI: https://doi.org/10.1007/978-3-642-59375-8_25 Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-540-41699-9 Online ISBN: 978-3-642-59375-8 eBook Packages: Springer Book Archive

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