Correlation between laparoscopic and histopathologic diagnosis of endometriosis
In: International Journal of Gynecology & Obstetrics, Jg. 115 (2011-12-01), Heft 3, S. 273-276
Online
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Zugriff:
Objective: To review the histopathologic diagnosis of biopsies taken following visualization of endometriosis at laparoscopy and to correlate visual with microscopic diagnoses. Methods: A retrospective review was undertaken of medical charts with a diagnosis of endometriosis at Aga Khan University Hospital, Nairobi, Kenya, between January 2001 and October 2010. Eligibility included visual diagnosis of endometriosis at laparoscopy, with a clear record of site, size, morphology, and number of lesions. The histopathologic diagnosis of the biopsies sampled was sought. Correlation was undertaken using κ statistics for diagnostic variability. Results: Of the 204 relevant records, 152 (74.5%) met the eligibility criteria; from these cases, 239 specimens were submitted for histology. The most common symptom was chronic pelvic pain (108 [71.1%]). Most biopsies were obtained from the ovary and posterior cul-de-sac. Histopathologic diagnosis was confirmed in (152 [63.8%]) specimens and correlated with Asian race, multiparity, and chronic pelvic pain. Neither the site of the lesion nor the stage of disease influenced the histopathologic diagnosis. Conclusion: Laparoscopic visualization of endometriosis does not always correlate with histopathologic diagnosis; several other lesions may mimic endometriosis on histopathologic examination. [ABSTRACT FROM AUTHOR]
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Titel: |
Correlation between laparoscopic and histopathologic diagnosis of endometriosis
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Autor/in / Beteiligte Person: | Wanyonyi, Sikolia Z. ; Sequeira, Evan ; Mukono, Samuel G. |
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Zeitschrift: | International Journal of Gynecology & Obstetrics, Jg. 115 (2011-12-01), Heft 3, S. 273-276 |
Veröffentlichung: | 2011 |
Medientyp: | academicJournal |
ISSN: | 0020-7292 (print) |
DOI: | 10.1016/j.ijgo.2011.07.022 |
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