Endometriosis in routine practice: analysis of clinical cases


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Endometriosis is a disease in which the tissue grows, in its morphological and functional properties similarly to that of the endometrium, outside the uterine cavity. The formation of ectopic endometrial foci causes chronic pelvic pain and/or infertility. Practicing gynecologists are puzzled by the prevalence of endometriosis and the unresolved issues of its etiology, pathogenesis, diagnosis, and treatment. Patients diagnosed with endometriosis need monitoring and constant therapy even after radical treatments throughout their lives. Currently, there is no unified method for the treatment of endometriosis; each case must be considered individually, based on the characteristics of its clinical course and on the age and reproductive potential of a woman. The presented materials highlight various cases of the course of endometriosis and the treatment policy applicable to each particular patient. This clinical material is relevant for the discussion of controversial, unresolved issues of endometriosis. Conclusion: The described cases once again emphasize the need to choose surgical treatment at the right time and in full, preferably once in a lifetime. In addition, it is extremely important to choose drug for postoperative therapy, its duration in terms of preventing recurrent endometriosis.

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作者简介

Svetlana Dubrovina

Rostov State Medical University, Ministry of Health of Russia

Email: s.dubrovina@gmail.com
Professor, Dr. Med. Sci., Chief Researcher, RostSMU, Ministry of Health of Russia, Chief Researcher, Obstetrics and Pediatrics Research Institute

Yulia Berlim

Rostov-on-Don City Hospital Six

Email: juliaberlim@yandex.ru
PhD, Deputy Chief Physician for Medical Affairs

Anna Aleksandrina

Rostov-on-Don City Emergency Hospital

Email: anna22i2i5@inbox.ru
obstetrician-gynecologist

Marina Vovkochina

Rostov State Medical University, Ministry of Health of Russia

Email: jordan-85@inbox.ru
obstetrician-gynecologist, Obstetrics and Pediatrics Research Institute

Nina Tsirkunova

Rostov-on-Don City Hospital Six

Email: tsirkunovanina@gmail.com
Head of the Gynecological Department

Diana Bogunova

Rostov State Medical University, Ministry of Health of Russia

Email: bogunovadi@yandex.ru
obstetrician-gynecologist, Obstetrics and Pediatrics Research Institute

参考

  1. Petrozza J., Tomassetti C., Missmer S., Vermeulen N., Johnson N.P.; International Working Group of AAGL, ASRM, ESGE, ESHRE and WESH et al. An international terminology for endometriosis. Hum. Reprod. Open. 2021; 2021(4): 1-10. https://dx.doi.org/10.1093/hropen/hoab029.
  2. Chapron C., Souza C., Borghese B., Lafay-Pillet M.C., Santulli P., Bijaoui G. et al. Oral contraceptives and endometriosis: the past use of oral contraceptives for treating severe primary dysmenorrhea is associated with endometriosis, especially deep infiltrating endometriosis. Hum. Reprod. 2011; 26(8): 2028-35. https://dx.doi.org/10.1093/humrep/der156.
  3. Vercellini P., Somigliana E., Vigano P., Abbiati A., Barbara G., Crosignani P.G. Surgery for endometriosis-associated infertility: a pragmatic approach. Hum. Reprod. 2009; 24(2): 254-26. https://dx.doi.org/10.1093/humrep/den379.
  4. Guo S-W. Recurrence of endometriosis and its control. Hum. Reprod. Update. 2009; 15(4): 441-61. https://dx.doi.org/10.1093/humupd/dmp007.
  5. Guo S-W., Martin D.C. The perioperative period: a critical yet neglected time window for reducing the recurrence risk of endometriosis? Hum. Reprod. 2019; 34(10): 1858-65. https://dx.doi.org/10.1093/humrep/dez187.
  6. Somigliana E., Vercellini P., Vigano P., Benaglia L., Busnelli A., Fedele L. Postoperative medical therapy after surgical treatment of endometriosis: from adjuvant therapy to tertiary prevention. J. Minim. Invasive Gynecol. 2014; 21(3): 328-34. https://dx.doi.org/10.1016/j.jmig.2013.10.007.
  7. Selguk i., Bozdag G. Recurrence of endometriosis; risk factors, mechanisms and biomarkers; review of the literature. J. Turk. Ger. Gynecol. Assoc. 2013; 14(2): 98-103. https://dx.doi.org/10.5152/jtgga.2013.52385.
  8. Imai A., Suzuki N. Topical non barrier agents for postoperative adhesion prevention in animal models. Eur. J. Obstet. Gynecol. Reprod. Biol. 2010; 149(2): 131-5. https://dx.doi.org/10.1016/j.ejogrb.2009.12.026.
  9. Liu X., Long Q., Guo S-W. Surgical history and the risk of endometriosis: a hospital-based case-control study. Reprod. Sci. 2016; 23(9): 1217-24. https://dx.doi.org/10.1177/1933719116632921.
  10. Sibiude J., Santulli P., Marcellin L., Borghese B., Dousset B., Chapron C. Association of history of surgery for endometriosis with severity of deeply infiltrating endometriosis. Obstet. Gynecol. 2014; 124(4): 709-17. https://dx.doi.org/10.1097/AOG.0000000000000464.
  11. Long Q., Liu X., Guo S.W. Surgery accelerates the development of endometriosis in mice. Am. J. Obstet. Gynecol. 2016; 215(3): 320.e1-320.e15. https://dx.doi.org/10.1016/j.ajog.2016.02.055.
  12. Long Q., Liu X., Qi Q., Guo S-W. Chronic stress accelerates the development of endometriosis in mouse through adrenergic receptor [32. Hum. Reprod. 2016; 31(11): 2506-19. https://dx.doi.org/10.1093/humrep/dew237.
  13. Chapron C., Marcellin L., Borghese B., Santulli P. Rethinking mechanisms, diagnosis and management of endometriosis. Nat. Rev. Endocrinol. 2019; 15(11): 666-82. https://dx.doi.org/10.1038/s41574-019-0245-z.
  14. Kitawaki J., Koga K., Kanzo T., Momoeda М. An assessment of the efficacy and safety of dydrogesterone in women with ovarian endometrioma: An open-label multicenter clinical study. Reprod. Med. Biol. 2021; 20(3): 345-51. https://dx.doi.org/10.1002/rmb2.12391.
  15. Kohl Schwartz A.S.K., Wolfler M.M., Mitter V., Rauchfuss M., Haeberlin F., Eberhard M. et al. Endometriosis, especially mild disease: a risk factor for miscarriages. Fertil. Steril. 2017; 108(5): 806-14. https://dx.doi.org/10.1016/j.fertnstert.2017.08.025.
  16. Оразов М.Р., Радзинский В.Е., Хамошина М.Б., Кавтеладзе Е.В., Шустова В.Б., Цораева Ю.Р., Новгинов Д.C. Бесплодие, ассоциированное с эндометриозом: от легенды к суровой реальности. Трудный пациент. 2019; 17(1-2): 6-12.
  17. Vercellini Р. Oral contraceptive sand risk of endometriosis: asystematic review and meta-analysis. Hum. Reprod. Update. 2011; 17(2): 159-70. https://dx.doi.org/10.1093/humupd/dmq042.
  18. Vilos G.A., Vilos A.W., Haebe J.J. Laparoscopic findings, management, histopathology, and outcomes in 25 with cyclic leg pain. J. Am. Assoc. Gynecol. Laparosc. 2002; 9(2): 145-51. https://dx.doi.org/10.1016/s1074-3804(05)60122-3.
  19. Vercellini P., Chapron C., Fedele L., Frontino G., Zaina B., Crosignani P.G. Evidence for asymmetric distribution of sciatic nerve endometriosis. Eur. J. Obstet. Gynecol. Reprod. Biol. 2003; 102(2): 383-7. https://dx.doi.org/10.1016/s0029-7844(03)00532-5.
  20. Yahaya A., Chauhan G., Idowu A., Sumathi V., Botchu R., Evans S. Carcinoma arising within sciatic nerve endometriosis: a case report. J. Surg. Case Rep. 2021; 12: 1-3. https://dx.doi.org/10.1093/jscr/rjab512.
  21. Andres M.P., Arcoverde F.V., Souza C.C., Fernandes L.F., Abrao M.S., Kho R.M. Extra pelvic endometriosis: A systematic review. J. Minim. Invasive Gynecol. 2020; 27(2): 373-89. https://dx.doi.org/10.1016/j.jmig.2019.10.004.
  22. Possover M. Five-year follow-up after laparoscopic large nerve resection for deep infiltrate sciatic nerve endometriosis. J. Minim. Invasive Gynecol. 2017; 24(5): 822-6. https://dx.doi.org/10.1016/j.jmig.2017.02.027.
  23. Saar T.D., Pacquee S., Conrad D.H., Sarofim M., De Rosnay P., Rosen D. et.al. Endometriosis involving the sciatic nerve: a case report of isolated endometriosis of the sciatic nerve and review of the literature. Gynecol. Minim. Invasive Ther. 2018; 7(2): 81-5. https://dx.doi.org/10.4103/GMIT.GMIT_24_18.
  24. Mannan K., Altaf F., Maniar S., Tirabosco R., Sinisi M., Carlstedt T. Cyclical sciatica: endometriosis of the sciatic nerve. J. Bone Joint Surg. Br. 2008; 90(1): 98-101. https://dx.doi.org/10.1302/0301-620X.90B1.19832.
  25. Salazar-Grueso E., Roos R. Sciatic endometriosis: a treatable sensorimotor mononeuropathy. Neurology. 1986; 36(10): 1360-3. https://dx.doi.org/10.1212/wnl.36.10.1360.
  26. Lacroix-Triki M., Beyris L., Martel P., Marques B. Low-grade endometrial stromal sarcoma arising from sciatic nerve endometriosis. Obstet. Gynecol. 2004; 104(5, Pt 2): 1147-9. https://dx.doi.org/10.1097/01.AOG.0000128114.97877.33
  27. Giudice L.C. Clinical practice. Endometriosis. N. Engl. J. Med. 2010; 362(25): 2389-98. https://dx.doi.org/10.1056/NEJMcp1000274.
  28. Takagi H., Takata E., Sakamoto J., Fujita S., Takakura M., Sasagawa T. Malignant transformation of an ovarian endometrioma during endometriosis treatment: A Case Report. Case Rep. Obstet. Gynecol. 2018; 2018: 6210172. https://dx.doi.org/10.1155/2018/6210172.
  29. Kokcu A. Relationship between endometriosis and cancer from current perspective. Arch. Gynecol. Obstet. 2011; 284(6): 1473-9. https://dx.doi.org/10.1007/s00404-011-2047-y.
  30. Mostoufzadeh G.H., Scully R.E. Malignant tumors arising in endometriosis. Clin. Obstet. Gynecol. 1980; 23(3): 951-63.
  31. Kobayashi H. Risk of ovarian cancer among women with ovarian endometrioma. Acta Obstet. Gynaecol. Jpn. 2005; 57(9): 351-5.
  32. Сухих Г.Т., Серов В.Н., ред. Тактика врача акушера-гинеколога. Практическое руководство. М.: ГЭОТАР-Медиа; 2020: ч. 1-2.
  33. Дубровина С.О., Берлим Ю.Д. Гестагены в терапии эндометриоза. Акушерство и гинекология. 2018; 5: 150-5. [Dubrovina S.O., Berlim Y.D. Gestagens in the therapy of endometriosis. Obstetrics and Gynecology. 2018; 5: 150-5. (in Russian)]. https://dx.doi.org/10.18565/aig.2018.5.150-155.

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