Diagnosis of deep endometriosis by clinical examination during menstruation and plasma CA-125 concentration
In: Fertility and Sterility, Jg. 65 (1996-02-01), S. 280-287
Online
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Zugriff:
Objectives To evaluate a clinical examination during menstruation and plasma CA-125 concentrations to diagnose deep endometriosis. Design Prospective study in 61 women scheduled for a laparoscopy, a retrospective study in 140 women with deep endometriosis, and a clinical validation study in 16 women with painful pelvic nodularities during menstruation. Setting University Hospital Gasthuisberg, a tertiary referral center. Results In the retrospective study, deep endometriosis was detected by routine clinical examination in only 36% of women. Lesions infiltrating deeper than 15 mm were detected in 50%. In the prospective study pelvic nodularities were detected by routine clinical examination in 4 women but were detected in 22 by clinical examination during menstruation. The latter was highly reliable to diagnose deep endometriosis, cystic ovarian endometriosis, and cul-de-sac obliteration. CA-125 concentrations were higher during menstruation and correlated with deep endometriosis and with deep and cystic ovarian endometriosis. Nodularities at clinical examination or follicular phase CA-125 concentrations >35 U/mL are useful to decide that a bowel preparation should be given, achieving a sensitivity of 87% and a specificity of 83%. In the clinical validation study, deep endometriosis was found in 14 of 16 women. Conclusion Clinical examination during menstruation can diagnose reliably deep endometriosis, cystic ovarian endometriosis, or cul-de-sac adhesions. This test, preferentially combined with a follicular phase CA-125 assay, should be used to decide whether a preparation for bowel surgery should be given.
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Diagnosis of deep endometriosis by clinical examination during menstruation and plasma CA-125 concentration
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Autor/in / Beteiligte Person: | Cornillie, Freddy ; Meuleman, Christel ; Koninckx, Philippe R. ; Oosterlynck, Didier J. |
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Zeitschrift: | Fertility and Sterility, Jg. 65 (1996-02-01), S. 280-287 |
Veröffentlichung: | Elsevier BV, 1996 |
Medientyp: | unknown |
ISSN: | 0015-0282 (print) |
DOI: | 10.1016/s0015-0282(16)58086-8 |
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