Histologic appearance of endometriosis infiltrating uterosacral ligaments in women with painful symptoms

被引：39

作者：

Bonte, H

Chapron, C

Vieira, M

Fauconnier, A

Barakat, H

Fritel, X

Vacher-Lavenu, MC

Dubuisson, JB

机构：

[1] CHU Cochin Port Royal, Assistance Publ Hop Paris, Clin Baudelocque, Serv Chirurg Gynecol, Paris, France

[2] CHU Cochin Port Royal, Assistance Publ Hop Paris, Serv Cent Anat & Cytol Pathol, Paris, France

[3] Hop Rothschild, Assistance Publ Hop Paris, Serv Gynecol Obstet, F-75571 Paris, France

来源：

JOURNAL OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS | 2002年 / 9卷 / 04期

关键词：

D O I：

10.1016/S1074-3804(05)60530-0

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Study Objective. To describe the histologic appearance of deep endometriosis infiltrating the uterosacral ligaments (USL). Design. Retrospective analysis (Canadian Task Force classification II-2). Setting. University-affiliated hospital. Patients. One hundred forty-nine women with pain due to endometriosis. Intervention. Resection of one or both USL. Measurements and Main Results. One hundred seventy-two USL were examined by histology after unilateral resection in 126 patients (84.6%) and bilateral resection in 23 (15.4%). Two-thirds of women (122, 70.9%) had a classic appearance of endometriosis. Lesions of myoproliferative endometriosis with a histologic appearance of so-called adenomyotic nodules were observed in 25 (14.5%). Associated fibrosis was most frequent in patients with positive compared with negative histology (85, 69.7% vs 18, 36.0%). Conclusion. Anatomicopathologic lesions of deep endometriosis infiltrating the USL are heterogeneous. Adenomyotic nodules are not frequently observed.

引用

页码：519 / 524

页数：6

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