A Clinicopathological Study of Endometriosis with Special Reference to Endometriosis in Very Rare Locations
Journal Title: Indian Journal of Obstetrics and Gynecology - Year 2018, Vol 6, Issue 3
Abstract
Endometriosis is a chronic debilitating disease that occurs in 6-10% of the female population and about 35-50% of women with pain, infertility or both and characterized by endometrial tissue outside the uterine cavity. Endometriosis can be divided into pelvic and extrapelvic sites. The most common sites affected are ovaries, however it can occur in rare sites like gastrointestinal tract, pulmonary structures, diaphragm, umbilicus, urinary system, laparotomy and episiotomy scars, breasts, perineum, extremities and even in central nervous system. The clinicopathological spectrum of endometriosis with emphasis on occurrence at unusual sites were studied with total of 30 cases from different sites diagnosed as endometriosis by FNAC (4 cases) and histopathology in all cases over a period of 17 years in a tertiary care hospital. The most common site located is ovary in 23 cases (76.6%) followed by abdominal wall in four cases (13.3%). The uncommon extrapelvic locations , include each in vulva (3.33%), perianal (3.33%), and bladder (3.33%). Clinical presentation in different location of endometriosis varies. Malignant transformation is very rare and may occur in less than 1% of women, the most common site being ovary. Regarding pathogenesis, several theories are suggested. Follow up varied from 1-2 years. The typical presentation and local findings allows to make a correct diagnosis in clinically suspicious endometriosis. Proper caution must be taken during lower abdomen surgical procedures. Complication like bleeding from cyst, bowel obstruction in intestinal, reduced fertility etc, may be circumvented, if early diagnosis and treatment is instituted.
Authors and Affiliations
Shruthi S. Andola
Keywords
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- EP ID EP549895
- DOI 10.21088/ijog.2321.1636.6318.20
- Views 89
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