Abstract
Endometriosis is a chronic estrogen-dependent disease with inflammatory potential, characterized by the presence of ectopic endometrial tissue outside the uterus, with polymorphic and multifocal characteristics. In the same patient, there may be present several types of endometriotic lesions – from superficial endometriosis to endometriomas and deep infiltrative endometriosis. We can even say that it is a fibrotic condition in which the stroma and the endometrial epithelium are identified. Materials and method. We conducted a retrospective study, between 2017 and 2021, on a group of 126 patients, aged between 25 and 50 years old, operated in the “Prof. Dr. Panait Sîrbu” Clinical Hospital of Obstetrics and Gynecology, Bucharest, the Euroclinic Hospital – Private Health Network, and Monza Hospital, Bucharest. Results. We performed a comparative study of the diagnosis of ultrasound endometriosis/MRI and intraoperative endometriosis. According to information, the MRI diagnosis of endometriosis lesions is clearly superior, having a higher accuracy compared to the ultrasound diagnosis. Conclusions. There is no imaging method that can be used individually and be effective enough to identify the location and extent of endometriosis. The performance of these imaging procedures should be considered depending on the type of suspected endometriosis, the proposed therapeutic strategy, and the information to be provided to the patient. Transvaginal ultrasound is a repeatable, costless procedure that can be used to diagnose certain types and locations of endometriosis. The role of transvaginal ultrasound is to guide the type of subsequent complementary investigations depending on the location of the lesions, when suspected.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have