Evaluation of Diagnostic Visual Findings at Laparoscopy in Endometriosis
Background Endometriosis has been widely implicated as one of the causes of chronic pelvic pain, dysmenorrhea and infertility. The purpose of our study was to define the presumed correlation between visual and histologic diagnostic features of endometriosis based on the peritoneal findings identifie...
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Royan Institute (ACECR), Tehran
2007-09-01
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doaj-6a314305a67245a2bf3af00a6f8769dc2020-11-25T04:05:18ZengRoyan Institute (ACECR), TehranInternational Journal of Fertility and Sterility2008-076X2008-07782007-09-011312312610.22074/ijfs.2007.4566045660Evaluation of Diagnostic Visual Findings at Laparoscopy in EndometriosisSaghar Salehpour0Hanieh Zhaam1Mahnaz Hakimifard2Leila Khalili3Yaedollah Azar Gashb4Gynecology Department, Infertility and Reproductive Health Research Center (IRHRC), Shaheed Beheshti Medical UniversityPathology Department, Shaheed Beheshti Medical UniversityGynecology Department, Shaheed Beheshti Medical UniversityGynecology Department, Shaheed Beheshti Medical UniversityResearch Consultant, Shaheed Beheshti Medical UniversityBackground Endometriosis has been widely implicated as one of the causes of chronic pelvic pain, dysmenorrhea and infertility. The purpose of our study was to define the presumed correlation between visual and histologic diagnostic features of endometriosis based on the peritoneal findings identified in laparoscopy as a diagnostic trial with a standardized technique. So, all the specimens including complete excised lesions suggestive of endometriosis and systematic biopsies of normal appearing pelvic peritoneum were analyzed. This study was performed in Mahdieh hospital and IRHRC1 .between 2004 and 2005. Materials and methods A diagnostic study of 30 patients (14 to 45 years) undergoing diagnostic laparoscopy for the evaluation of chronic pelvic pain, infertility, dysmenorrhea and dyspareunia .(was carried out (average age was 28.6±5.14 All areas suggestive of endometriosis were excised and examined pathologically. Peritoneal biopsy specimens were obtained from areas of normal appearing peritoneum to rule out .microscopic endometriosis The positive predictive value, sensitivity, negative predictive value and specificity were .determined for identified endometriosis versus the histological findings . Results The mean prevalence of abnormalities visually consistent with endometriosis was 63% while 42% confirmed histologically. The positive predictive value was 42.1%, sensitivity 88.8%, negative predictive 90.9% and specificity 47.6% for visual versus histological diagnosis .of endometriosis. Conclusion A diagnosis of endometriosis should be established only after histologic confirmation.http://www.ijfs.ir/article_45660_e87c7dfde356c0eee9801ae3ffe6ac77.pdfendometriosis diagnosislaparoscopyhistopathology |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Saghar Salehpour Hanieh Zhaam Mahnaz Hakimifard Leila Khalili Yaedollah Azar Gashb |
spellingShingle |
Saghar Salehpour Hanieh Zhaam Mahnaz Hakimifard Leila Khalili Yaedollah Azar Gashb Evaluation of Diagnostic Visual Findings at Laparoscopy in Endometriosis International Journal of Fertility and Sterility endometriosis diagnosis laparoscopy histopathology |
author_facet |
Saghar Salehpour Hanieh Zhaam Mahnaz Hakimifard Leila Khalili Yaedollah Azar Gashb |
author_sort |
Saghar Salehpour |
title |
Evaluation of Diagnostic Visual Findings at Laparoscopy in Endometriosis |
title_short |
Evaluation of Diagnostic Visual Findings at Laparoscopy in Endometriosis |
title_full |
Evaluation of Diagnostic Visual Findings at Laparoscopy in Endometriosis |
title_fullStr |
Evaluation of Diagnostic Visual Findings at Laparoscopy in Endometriosis |
title_full_unstemmed |
Evaluation of Diagnostic Visual Findings at Laparoscopy in Endometriosis |
title_sort |
evaluation of diagnostic visual findings at laparoscopy in endometriosis |
publisher |
Royan Institute (ACECR), Tehran |
series |
International Journal of Fertility and Sterility |
issn |
2008-076X 2008-0778 |
publishDate |
2007-09-01 |
description |
Background Endometriosis has been widely implicated as one of the causes of chronic pelvic pain, dysmenorrhea and infertility. The purpose of our study was to define the presumed correlation between visual and histologic diagnostic features of endometriosis based on the peritoneal findings identified in laparoscopy as a diagnostic trial with a standardized technique. So, all the specimens including complete excised lesions suggestive of endometriosis and systematic biopsies of normal appearing pelvic peritoneum were analyzed. This study was performed in Mahdieh hospital and IRHRC1 .between 2004 and 2005. Materials and methods A diagnostic study of 30 patients (14 to 45 years) undergoing diagnostic laparoscopy for the evaluation of chronic pelvic pain, infertility, dysmenorrhea and dyspareunia .(was carried out (average age was 28.6±5.14 All areas suggestive of endometriosis were excised and examined pathologically. Peritoneal biopsy specimens were obtained from areas of normal appearing peritoneum to rule out .microscopic endometriosis The positive predictive value, sensitivity, negative predictive value and specificity were .determined for identified endometriosis versus the histological findings . Results The mean prevalence of abnormalities visually consistent with endometriosis was 63% while 42% confirmed histologically. The positive predictive value was 42.1%, sensitivity 88.8%, negative predictive 90.9% and specificity 47.6% for visual versus histological diagnosis .of endometriosis. Conclusion A diagnosis of endometriosis should be established only after histologic confirmation. |
topic |
endometriosis diagnosis laparoscopy histopathology |
url |
http://www.ijfs.ir/article_45660_e87c7dfde356c0eee9801ae3ffe6ac77.pdf |
work_keys_str_mv |
AT sagharsalehpour evaluationofdiagnosticvisualfindingsatlaparoscopyinendometriosis AT haniehzhaam evaluationofdiagnosticvisualfindingsatlaparoscopyinendometriosis AT mahnazhakimifard evaluationofdiagnosticvisualfindingsatlaparoscopyinendometriosis AT leilakhalili evaluationofdiagnosticvisualfindingsatlaparoscopyinendometriosis AT yaedollahazargashb evaluationofdiagnosticvisualfindingsatlaparoscopyinendometriosis |
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