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The Impact of Evolving Endometriosis Guidelines on Diagnosis and Observational Health Studies.
medRxiv
December 2024
Department of Biomedical Informatics, Columbia University, New York, NY, USA.
Study Question: Do recent changes in European Society of Human Reproduction and Embryology (ESHRE) clinical guidelines result in more comprehensive diagnosis of women with endometriosis?
Summary Answer: The latest shift in clinical guidelines results in diagnosis of more women with endometriosis but current ESHRE diagnostic criteria do not capture a sizable percentage of women with the disease.
What Is Known Already: Historically, laparoscopy was the gold standard for diagnosing endometriosis, a complex gynecological condition marked by a heterogeneous set of symptoms that vary widely among women. More recently, changes in clinical guidelines have shifted to incorporate imaging-based approaches such as transvaginal sonography and magnetic resonance imaging.
Hemopneumothorax Secondary to Pleural Endometriosis in a Woman of Childbearing Age: A Rare Presentation.
Cureus
October 2024
General Surgery, Unidade Local de Saúde Lisboa Ocidental, Lisbon, PRT.
Pleural endometriosis is a rare condition characterized by the presence of endometrial tissue outside the uterus, involving the pleura. This atypical condition can be asymptomatic or cause respiratory symptoms such as chest pain, dyspnea, and hemothorax. We present a clinical case of a 32-year-old woman who presented to the emergency room with hemothorax due to pleural endometriosis.
View Article and Find Full Text PDFFactors in malignant transformation of ovarian endometriosis: A narrative review.
Gynecol Endocrinol
December 2024
Department of Clinical and Experimental Medicine, Division of Obstetrics and Gynecology, University of Pisa, Pisa, Italy.
Article Synopsis
- Endometriosis is a chronic inflammatory disease linked to estrogen, with a notable connection to specific ovarian cancers, such as clear cell and endometrioid carcinomas.
- Atypical endometriosis is considered a potential precursor to these ovarian tumors, primarily developing in the ovary rather than other areas.
- Recent research suggests that oxidative stress from iron in the endometriosis environment may contribute to the progression from endometriosis to ovarian cancer, though the exact mechanisms remain unclear.
Immunohistochemical Analysis of GATA2 Expression in Endometrium and its Relationship with Hormone Receptor Expression in Benign and Premalignant Endometrial Disorders.
Reprod Sci
December 2024
Department of Pathology and Laboratory Medicine, University of Wisconsin - Madison, Madison, Wisconsin, USA.
The GATA gene family encodes highly conserved zinc-finger transcription factors that facilitate the development and function of multiple organ systems including the uterus. In the endometrium, GATA2 functions in a positive autoregulatory loop with the progesterone receptor (PGR) and colocalizes with PGR on chromatin to promote PGR transcriptional programs. GATA2 also has PGR-independent functions that maintain endometrial cell identity, and GATA2 transcripts reportedly are down-regulated in endometrial disorders including endometriosis.
View Article and Find Full Text PDFClinicopathological features of endometriosis‑associated adenocarcinoma of the rectum: A report of two cases.
Oncol Lett
November 2024
Department of Gynecologic Oncology, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430079, P.R. China.
Endometriosis-associated adenocarcinoma of the rectum is rare and is usually misdiagnosed as colorectal carcinoma or other gynecological tumors. In the current report, the clinicopathological features of endometriosis-associated adenocarcinoma of the rectum in 2 patients were retrospectively analyzed and a literature review regarding this rare malignancy is presented. Case 1, a 49-year-old postmenopausal female patient, was admitted to Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology (Wuhan, China) due to a pelvic mass.
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