Abstract
I read with confusion the article by Jain and Dalton regarding chocolate ovarian cysts (1). Part of my confusion relates to the authors’ opinion that all chocolate cysts are endometrioma cysts, and thus the terms can be used interchangeably. This is especially confusing in light of their later acknowledgment that not all chocolate cysts are endometrioma cysts. In support of this opinion, they claim a 97% sensitivity in diagnosis of endometriomas by visual means alone, ignoring other studies that have found sensitivities of only 0% (2) and 47% (3). Indeed, most of the chocolate cysts in Sampson’s study (3) were histologically proved not to be endometriosis, and generations of authors have made the same misinterpretation of this work that Jain and Dalton make.
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