Fertility and Sterility
Volume 91, Issue 4, Supplement , Pages 1326-1328 , April 2009

Fibrotic tissue in the endometrioma capsule: surgical and physiopathologic considerations from histologic findings

  • Mario Vicino, M.D.

      Affiliations

    • Department of Gynaecology, Obstetrics and Neonatology, University of Medical Science of Bari, Bari, Italy
    • ,
  • Marco Scioscia, M.D.

      Affiliations

    • Department of Gynaecology, Obstetrics and Neonatology, University of Medical Science of Bari, Bari, Italy
    • Corresponding Author InformationReprint requests: Marco Scioscia, M.D., Department of Gynaecology, Obstetrics and Neonatology, University of Medical Science of Bari–Policlinico, Piazza Giulio Cesare 11, 70125 Bari, Italy (FAX: +39-0805-592-728).
    • ,
  • Leonardo Resta, M.D.

      Affiliations

    • Department of Pathological Anatomy, University of Medical Science of Bari, Bari, Italy
    • ,
  • Andrea Marzullo, M.D.

      Affiliations

    • Department of Pathological Anatomy, University of Medical Science of Bari, Bari, Italy
    • ,
  • Oronzo Ceci, M.D.

      Affiliations

    • Department of Gynaecology, Obstetrics and Neonatology, University of Medical Science of Bari, Bari, Italy
    • ,
  • Luigi E. Selvaggi

      Affiliations

    • Department of Gynaecology, Obstetrics and Neonatology, University of Medical Science of Bari, Bari, Italy

Received 12 December 2007 ,Revised 25 February 2008 ,Accepted 25 February 2008.

References 

  1. Giudice LC, Kao LC. Endometriosis. Lancet. 2004;364:1789–1799
  2. Donnez J, Chantraine F, Nisolle M. The efficacy of medical and surgical treatment of endometriosis-associated infertility: arguments in favour of a medico-surgical approach. Hum Reprod Update. 2002;8:89–94
  3. Garry R. Diagnosis of endometriosis and pelvic pain. Fertil Steril. 2006;86:1307–1309
  4. Garry R. The effectiveness of laparoscopic excision of endometriosis. Curr Opin Obstet Gynecol. 2004;16:299–303
  5. Muzii L, Bianchi A, Bellati F, Cristi E, Pernice M, Zullo MA, et al. Histologic analysis of endometriomas: what the surgeon needs to know. Fertil Steril. 2007;87:362–366
  6. Brosens IA, Van Ballaer P, Puttemans P, Deprest J. Reconstruction of the ovary containing large endometriomas by an extraovarian endosurgical technique. Fertil Steril. 1996;66:517–521
  7. Ragni G, Somigliana E, Benedetti F, Paffoni A, Vegetti W, Restelli L, et al. Damage to ovarian reserve associated with laparoscopic excision of endometriomas: a quantitative rather than a qualitative injury. Am J Obstet Gynecol. 2005;193:1908–1914
  8. Vicino M, Resta L, Scioscia M, Marzullo A, Ceci O, Bettocchi S. Correlation between serum levels of Ca125 and follicular loss after laparoscopic cystectomy in women with ovarian endometrioma. J Minim Invasive Gynecol. 2007;14:223–227
  9. Toki T, Kubota J, Lu X, Nakayama K. Immunohistochemical analysis of CA125, CA19-9, and Ki-67 in stage III or IV endometriosis: positive correlation between serum CA125 level and endometriotic epithelial cell proliferation. Acta Obstet Gynecol Scand. 2000;79:771–776
  10. Hachisuga T, Kawarabayashi T. Histopathological analysis of laparoscopically treated ovarian endometriotic cysts with special reference to loss of follicles. Hum Reprod. 2002;17:432–435
  11. Matsuzaki S, Canis M, Pouly JL, Rabischong B, Botchorishvili R, Mage G. Relationship between delay of surgical diagnosis and severity of disease in patients with symptomatic deep infiltrating endometriosis. Fertil Steril. 2006;86:1314–1316
  12. Royal College Obstetrics and Gynaecology Guideline 41. Initial management of chronic pelvic pain. London: RCOG; 2004;
  13. Ballard K, Lowton K, Wright J. What's the delay? A qualitative study of women's experiences of reaching a diagnosis of endometriosis. Fertil Steril. 2006;86:1296–1301
  14. Franssen AM, van der Heijden PF, Thomas CM, Doesburg WH, Willemsen WN, Rolland R. On the origin and significance of serum CA-125 concentrations in 97 patients with endometriosis before, during, and after buserelin acetate, nafarelin, or danazol. Fertil Steril. 1992;57:974–979

 M.V. has nothing to disclose. M.S. has nothing to disclose. L.R. has nothing to disclose. A.M. has nothing to disclose. O.C. has nothing to disclose. L.E.S. has nothing to disclose.

PII: S0015-0282(08)00517-7

doi: 10.1016/j.fertnstert.2008.02.157

Fertility and Sterility
Volume 91, Issue 4, Supplement , Pages 1326-1328 , April 2009

Article Tools

* Image Usage & Resolution