Endometrioma ve Derin İnfiltratif Endometriozis Birlikteliğiliği
Özet
Endometriozis, üreme çağındaki kadınlarda yaygın olarak görülen bir jinekolojik hastalıktır. En sık rastlanan iki formu endometrioma ve derin infiltratif endometriozistir (DIE). Endometrioma, genellikle overlerde oluşan kistik yapılar olup "çikolata kisti" olarak adlandırılmaktadır. Bu kistler, pelvik ağrı, dismenore ve infertilite gibi semptomlara neden olabilir. Derin infiltratif endometriozis ise, endometrial dokunun pelvik organlara derin invazyonu ile karakterize edilir ve daha şiddetli ağrı, cinsel ilişki sırasında ağrı (disparoni) ve bağırsak veya mesane ile ilgili semptomlara yol açabilir. Hem endometrioma hem de DIE, kadınların yaşam kalitesini olumsuz etkileyebilir ve multidisipliner bir yaklaşım gerektiren karmaşık tanı ve tedavi süreçlerine sahiptirler.
Endometriosis is a common gynecological disorder among women of reproductive age, with two predominant forms being endometrioma and deep infiltrating endometriosis (DIE). Endometrioma, commonly referred to as "chocolate cyst," is characterized by cystic structures typically located in the ovaries. These cysts can lead to symptoms such as pelvic pain, dysmenorrhea, and infertility. Deep infiltrating endometriosis is characterized by the deep invasion of endometrial tissue into pelvic organs, causing more severe pain, dyspareunia, and gastrointestinal or urinary symptoms. Both endometrioma and DIE can significantly impact the quality of life for women and require a complex diagnostic and therapeutic approach that involves multidisciplinary care.
Referanslar
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Burney RO, Giudice LC. Pathogenesis and pathophysiology of endometriosis. Fertil Steril. 2012;98(3):511-519. doi:10.1016/j.fertnstert.2012.06.029)
Chapron C, Tosti C, Marcellin L, et al. Relationship between the magnetic resonance imaging appearance of adenomyosis and endometriosis phenotypes. Hum Reprod. 2017;32(7):1393-1401. doi:10.1093/humrep/dex088
Sampson, J. A.. "Peritoneal endometriosis due to the menstrual dissemination of endometrial tissue into the peritoneal cavity." American Journal of Obstetrics and Gynecology, 1927;14(4): 422-469).
D'Hooghe TM, Bambra CS, Raeymaekers BM, Koninckx PR. Increased prevalence and recurrence of retrograde menstruation in baboons with spontaneous endometriosis. Hum Reprod. 1996;11(9):2022-2025. doi:10.1093/oxfordjournals.humrep.a019537
Halme J, Hammond MG, Hulka JF, Raj SG, Talbert LM. Retrograde menstruation in healthy women and in patients with endometriosis. Obstet Gynecol. 1984;64(2):151-154..
Van Langendonckt A, Casanas-Roux F, Donnez J. Oxidative stress and peritoneal endometriosis. Fertil Steril. 2002;77(5):861-870. doi:10.1016/s0015-0282(02)02959-x.
Konrad L, Dietze R, Riaz MA, et al. Epithelial-Mesenchymal Transition in Endometriosis-When Does It Happen?. J Clin Med. 2020;9(6):1915. doi:10.3390/jcm9061915
Simpson JL, Elias S, Malinak LR, Buttram VC Jr. Heritable aspects of endometriosis. I. Genetic studies. Am J Obstet Gynecol. 1980;137(3):327-331. doi:10.1016/0002-9378(80)90917-5.
Lebovic DI, Mueller MD, Taylor RN. Immunobiology of endometriosis. Fertil Steril. 2001;75(1):1-10. doi:10.1016/s0015-0282(00)01630-7
Guerriero S, Alcázar JL, Pascual MA, et al. Deep Infiltrating Endometriosis: Comparison Between 2-Dimensional Ultrasonography (US), 3-Dimensional US, and Magnetic Resonance Imaging. J Ultrasound Med. 2018;37(6):1511-1521. doi:10.1002/jum.14496
Saunders PTK, Horne AW. Endometriosis: Etiology, pathobiology, and therapeutic prospects. Cell. 2021;184(11):2807-2824. doi:10.1016/j.cell.2021.04.041.
Agarwal SK, Chapron C, Giudice LC, et al. Clinical diagnosis of endometriosis: a call to action. Am J Obstet Gynecol. 2019;220(4):354.e1-354.e12. doi:10.1016/j.ajog.2018.12.039.
Adamson GD. Endometriosis classification: an update. Curr Opin Obstet Gynecol. 2011;23(4):213-220. doi:10.1097/GCO.0b013e328348a3ba
Vercellini P, Buggio L, Frattaruolo MP, Borghi A, Dridi D, Somigliana E. Medical treatment of endometriosis-related pain. Best Pract Res Clin Obstet Gynaecol. 2018;51:68-91. doi:10.1016/j.bpobgyn.2018.01.015.
Minelli L, Fanfani F, Fagotti A, et al. Laparoscopic Colorectal Resection for Bowel Endometriosis: Feasibility, Complications, and Clinical Outcome. Arch Surg. 2009;144(3):234–239. doi:10.1001/archsurg.2008.555
Ota Y, Andou M, Ota I. Laparoscopic surgery with urinary tract reconstruction and bowel endometriosis resection for deep infiltrating endometriosis. Asian J Endosc Surg. 2018;11(1):7-14. doi:10.1111/ases.12464
Abrão MS, Petraglia F, Falcone T, Keckstein J, Osuga Y, Chapron C. Deep endometriosis infiltrating the recto-sigmoid: critical factors to consider before management. Hum Reprod Update. 2015;21(3):329-339. doi:10.1093/humupd/dmv003
Guerriero S, Saba L, Pascual MA, et al. Transvaginal ultrasound vs magnetic resonance imaging for diagnosing deep infiltrating endometriosis: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 2018;51(5):586-595. doi:10.1002/uog.18961.
Martire FG, Giorgi M, D'Abate C, et al. Deep Infiltrating Endometriosis in Adolescence: Early Diagnosis and Possible Prevention of Disease Progression. J Clin Med. 2024;13(2):550. doi:10.3390/jcm13020550.
Bazot M, Lafont C, Rouzier R, Roseau G, Thomassin-Naggara I, Daraï E. Diagnostic accuracy of physical examination, transvaginal sonography, rectal endoscopic sonography, and magnetic resonance imaging to diagnose deep infiltrating endometriosis. Fertil Steril. 2009;92(6):1825-1833. doi:10.1016/j.fertnstert.2008.09.005.
Muzii L, Di Tucci C, Achilli C, et al. Continuous versus cyclic oral contraceptives after laparoscopic excision of ovarian endometriomas: a systematic review and metaanalysis. Am J Obstet Gynecol. 2016;214(2):203-211. doi:10.1016/j.ajog.2015.08.074.
Ottolina J, Villanacci R, D'Alessandro S, et al. Endometriosis and Adenomyosis: Modern Concepts of Their Clinical Outcomes, Treatment, and Management. J Clin Med. 2024;13(14):3996. doi:10.3390/jcm13143996
Falcone T, Flyckt R. Clinical Management of Endometriosis. Obstet Gynecol. 2018;131(3):557-571. doi:10.1097/AOG.0000000000002469
Shim JY, Laufer MR. Adolescent Endometriosis: An Update. J Pediatr Adolesc Gynecol. 2020;33(2):112-119. doi:10.1016/j.jpag.2019.11.011
Dunselman GA, Vermeulen N, Becker C, et al. ESHRE guideline: management of women with endometriosis. Hum Reprod. 2014;29(3):400-412. doi:10.1093/humrep/det457
Divasta AD, Laufer MR, Gordon CM. Bone density in adolescents treated with a GnRH agonist and add-back therapy for endometriosis. J Pediatr Adolesc Gynecol. 2007;20(5):293-297. doi:10.1016/j.jpag.2007.04.008
Koninckx PR, Fernandes R, Ussia A, et al. Pathogenesis Based Diagnosis and Treatment of Endometriosis. Front Endocrinol (Lausanne). 2021;12:745548. doi:10.3389/fendo.2021.745548
Nezhat C, Hajhosseini B, King LP. Laparoscopic management of bowel endometriosis: predictors of severe disease and recurrence. JSLS. 2011;15(4):431-438. doi:10.4293/108680811X13176785203752
Nirgianakis K, Egger K, Kalaitzopoulos DR, Lanz S, Bally L, Mueller MD. Effectiveness of Dietary Interventions in the Treatment of Endometriosis: a Systematic Review. Reprod Sci. 2022;29(1):26-42. doi:10.1007/s43032-020-00418-w
Tennfjord MK, Gabrielsen R, Tellum T. Effect of physical activity and exercise on endometriosis-associated symptoms: a systematic review. BMC Womens Health. 2021;21(1):355. doi:10.1186/s12905-021-01500-4
Li PS, Peng XM, Niu XX, et al. Efficacy of acupuncture for endometriosis-associated pain: a multicenter randomized single-blind placebo-controlled trial. Fertil Steril. 2023;119(5):815-823. doi:10.1016/j.fertnstert.2023.01.034
Parazzini F, Viganò P, Candiani M, Fedele L. Diet and endometriosis risk: a literature review. Reprod Biomed Online. 2013;26(4):323-336. doi:10.1016/j.rbmo.2012.12.011
Mikocka-Walus A, Druitt M, O'Shea M, et al. Yoga, cognitive-behavioural therapy versus education to improve quality of life and reduce healthcare costs in people with endometriosis: a randomised controlled trial. BMJ Open. 2021;11(8):e046603. doi:10.1136/bmjopen-2020-046603
Burney RO, Giudice LC. Pathogenesis and pathophysiology of endometriosis. Fertil Steril. 2012;98(3):511-519. doi:10.1016/j.fertnstert.2012.06.029)
Chapron C, Tosti C, Marcellin L, et al. Relationship between the magnetic resonance imaging appearance of adenomyosis and endometriosis phenotypes. Hum Reprod. 2017;32(7):1393-1401. doi:10.1093/humrep/dex088
Sampson, J. A.. "Peritoneal endometriosis due to the menstrual dissemination of endometrial tissue into the peritoneal cavity." American Journal of Obstetrics and Gynecology, 1927;14(4): 422-469).
D'Hooghe TM, Bambra CS, Raeymaekers BM, Koninckx PR. Increased prevalence and recurrence of retrograde menstruation in baboons with spontaneous endometriosis. Hum Reprod. 1996;11(9):2022-2025. doi:10.1093/oxfordjournals.humrep.a019537
Halme J, Hammond MG, Hulka JF, Raj SG, Talbert LM. Retrograde menstruation in healthy women and in patients with endometriosis. Obstet Gynecol. 1984;64(2):151-154..
Van Langendonckt A, Casanas-Roux F, Donnez J. Oxidative stress and peritoneal endometriosis. Fertil Steril. 2002;77(5):861-870. doi:10.1016/s0015-0282(02)02959-x.
Konrad L, Dietze R, Riaz MA, et al. Epithelial-Mesenchymal Transition in Endometriosis-When Does It Happen?. J Clin Med. 2020;9(6):1915. doi:10.3390/jcm9061915
Simpson JL, Elias S, Malinak LR, Buttram VC Jr. Heritable aspects of endometriosis. I. Genetic studies. Am J Obstet Gynecol. 1980;137(3):327-331. doi:10.1016/0002-9378(80)90917-5.
Lebovic DI, Mueller MD, Taylor RN. Immunobiology of endometriosis. Fertil Steril. 2001;75(1):1-10. doi:10.1016/s0015-0282(00)01630-7
Guerriero S, Alcázar JL, Pascual MA, et al. Deep Infiltrating Endometriosis: Comparison Between 2-Dimensional Ultrasonography (US), 3-Dimensional US, and Magnetic Resonance Imaging. J Ultrasound Med. 2018;37(6):1511-1521. doi:10.1002/jum.14496
Saunders PTK, Horne AW. Endometriosis: Etiology, pathobiology, and therapeutic prospects. Cell. 2021;184(11):2807-2824. doi:10.1016/j.cell.2021.04.041.
Agarwal SK, Chapron C, Giudice LC, et al. Clinical diagnosis of endometriosis: a call to action. Am J Obstet Gynecol. 2019;220(4):354.e1-354.e12. doi:10.1016/j.ajog.2018.12.039.
Adamson GD. Endometriosis classification: an update. Curr Opin Obstet Gynecol. 2011;23(4):213-220. doi:10.1097/GCO.0b013e328348a3ba
Vercellini P, Buggio L, Frattaruolo MP, Borghi A, Dridi D, Somigliana E. Medical treatment of endometriosis-related pain. Best Pract Res Clin Obstet Gynaecol. 2018;51:68-91. doi:10.1016/j.bpobgyn.2018.01.015.
Minelli L, Fanfani F, Fagotti A, et al. Laparoscopic Colorectal Resection for Bowel Endometriosis: Feasibility, Complications, and Clinical Outcome. Arch Surg. 2009;144(3):234–239. doi:10.1001/archsurg.2008.555
Ota Y, Andou M, Ota I. Laparoscopic surgery with urinary tract reconstruction and bowel endometriosis resection for deep infiltrating endometriosis. Asian J Endosc Surg. 2018;11(1):7-14. doi:10.1111/ases.12464
Abrão MS, Petraglia F, Falcone T, Keckstein J, Osuga Y, Chapron C. Deep endometriosis infiltrating the recto-sigmoid: critical factors to consider before management. Hum Reprod Update. 2015;21(3):329-339. doi:10.1093/humupd/dmv003
Guerriero S, Saba L, Pascual MA, et al. Transvaginal ultrasound vs magnetic resonance imaging for diagnosing deep infiltrating endometriosis: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 2018;51(5):586-595. doi:10.1002/uog.18961.
Martire FG, Giorgi M, D'Abate C, et al. Deep Infiltrating Endometriosis in Adolescence: Early Diagnosis and Possible Prevention of Disease Progression. J Clin Med. 2024;13(2):550. doi:10.3390/jcm13020550.
Bazot M, Lafont C, Rouzier R, Roseau G, Thomassin-Naggara I, Daraï E. Diagnostic accuracy of physical examination, transvaginal sonography, rectal endoscopic sonography, and magnetic resonance imaging to diagnose deep infiltrating endometriosis. Fertil Steril. 2009;92(6):1825-1833. doi:10.1016/j.fertnstert.2008.09.005.
Muzii L, Di Tucci C, Achilli C, et al. Continuous versus cyclic oral contraceptives after laparoscopic excision of ovarian endometriomas: a systematic review and metaanalysis. Am J Obstet Gynecol. 2016;214(2):203-211. doi:10.1016/j.ajog.2015.08.074.
Ottolina J, Villanacci R, D'Alessandro S, et al. Endometriosis and Adenomyosis: Modern Concepts of Their Clinical Outcomes, Treatment, and Management. J Clin Med. 2024;13(14):3996. doi:10.3390/jcm13143996
Falcone T, Flyckt R. Clinical Management of Endometriosis. Obstet Gynecol. 2018;131(3):557-571. doi:10.1097/AOG.0000000000002469
Shim JY, Laufer MR. Adolescent Endometriosis: An Update. J Pediatr Adolesc Gynecol. 2020;33(2):112-119. doi:10.1016/j.jpag.2019.11.011
Dunselman GA, Vermeulen N, Becker C, et al. ESHRE guideline: management of women with endometriosis. Hum Reprod. 2014;29(3):400-412. doi:10.1093/humrep/det457
Divasta AD, Laufer MR, Gordon CM. Bone density in adolescents treated with a GnRH agonist and add-back therapy for endometriosis. J Pediatr Adolesc Gynecol. 2007;20(5):293-297. doi:10.1016/j.jpag.2007.04.008
Koninckx PR, Fernandes R, Ussia A, et al. Pathogenesis Based Diagnosis and Treatment of Endometriosis. Front Endocrinol (Lausanne). 2021;12:745548. doi:10.3389/fendo.2021.745548
Nezhat C, Hajhosseini B, King LP. Laparoscopic management of bowel endometriosis: predictors of severe disease and recurrence. JSLS. 2011;15(4):431-438. doi:10.4293/108680811X13176785203752
Nirgianakis K, Egger K, Kalaitzopoulos DR, Lanz S, Bally L, Mueller MD. Effectiveness of Dietary Interventions in the Treatment of Endometriosis: a Systematic Review. Reprod Sci. 2022;29(1):26-42. doi:10.1007/s43032-020-00418-w
Tennfjord MK, Gabrielsen R, Tellum T. Effect of physical activity and exercise on endometriosis-associated symptoms: a systematic review. BMC Womens Health. 2021;21(1):355. doi:10.1186/s12905-021-01500-4
Li PS, Peng XM, Niu XX, et al. Efficacy of acupuncture for endometriosis-associated pain: a multicenter randomized single-blind placebo-controlled trial. Fertil Steril. 2023;119(5):815-823. doi:10.1016/j.fertnstert.2023.01.034
Parazzini F, Viganò P, Candiani M, Fedele L. Diet and endometriosis risk: a literature review. Reprod Biomed Online. 2013;26(4):323-336. doi:10.1016/j.rbmo.2012.12.011
Mikocka-Walus A, Druitt M, O'Shea M, et al. Yoga, cognitive-behavioural therapy versus education to improve quality of life and reduce healthcare costs in people with endometriosis: a randomised controlled trial. BMJ Open. 2021;11(8):e046603. doi:10.1136/bmjopen-2020-046603
Sayfalar
105-110
Gelecek
21 Ocak 2025
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