Using location, color, size, and depth to characterize and identify endometriosis lesions in a cohort of 133 women. Stegmann, B. J., Sinaii, N., Liu, S., Segars, J., Merino, M., Nieman, L. K., & Stratton, P. Fertility and Sterility, 89(6):1632--1636, June, 2008. doi abstract bibtex OBJECTIVE: To correlate histology with endometriosis characteristics. DESIGN: Secondary data analysis. SETTING: Government research hospital. PATIENT(S): One hundred thirty-three women with chronic pelvic pain and endometriosis who underwent laparoscopic surgery between 1999 and 2004. INTERVENTION(S): Laparoscopic excision of lesions, including recording of lesion characteristics and surgical impression of the lesions. MAIN OUTCOME MEASURE(S): All biopsies were sent for histological examination for endometriosis, and surgical and histological findings were compared. RESULT(S): Three hundred fifty-seven of 544 lesions believed to be endometriosis by the surgeon had positive histology. Mixed-color lesions most commonly contained endometriosis (76%), with the percentage of positive lesions being similar between single-color groups. Among subtle (red or white) lesions, 58% (164/283) were positive for endometriosis. Thirty women had only red or white lesions, and 18 (60%) had at least one lesion positive for endometriosis. Lesions were most commonly located in the cul-de-sac (64%), utero-sacral ligaments (68%), and ovarian fossa (70%). CONCLUSION(S): Wide, deep, mixed-color lesions in the cul-de-sac, the ovarian fossa, or the utero-sacral ligaments had the highest frequency of endometriosis. More than half of subtle lesions had endometriosis. These results should be considered when diagnosing endometriosis.
@article{stegmann_using_2008,
title = {Using location, color, size, and depth to characterize and identify endometriosis lesions in a cohort of 133 women},
volume = {89},
issn = {1556-5653},
doi = {10.1016/j.fertnstert.2007.05.042},
abstract = {OBJECTIVE: To correlate histology with endometriosis characteristics.
DESIGN: Secondary data analysis.
SETTING: Government research hospital.
PATIENT(S): One hundred thirty-three women with chronic pelvic pain and endometriosis who underwent laparoscopic surgery between 1999 and 2004.
INTERVENTION(S): Laparoscopic excision of lesions, including recording of lesion characteristics and surgical impression of the lesions.
MAIN OUTCOME MEASURE(S): All biopsies were sent for histological examination for endometriosis, and surgical and histological findings were compared.
RESULT(S): Three hundred fifty-seven of 544 lesions believed to be endometriosis by the surgeon had positive histology. Mixed-color lesions most commonly contained endometriosis (76\%), with the percentage of positive lesions being similar between single-color groups. Among subtle (red or white) lesions, 58\% (164/283) were positive for endometriosis. Thirty women had only red or white lesions, and 18 (60\%) had at least one lesion positive for endometriosis. Lesions were most commonly located in the cul-de-sac (64\%), utero-sacral ligaments (68\%), and ovarian fossa (70\%).
CONCLUSION(S): Wide, deep, mixed-color lesions in the cul-de-sac, the ovarian fossa, or the utero-sacral ligaments had the highest frequency of endometriosis. More than half of subtle lesions had endometriosis. These results should be considered when diagnosing endometriosis.},
language = {eng},
number = {6},
journal = {Fertility and Sterility},
author = {Stegmann, Barbara J. and Sinaii, Ninet and Liu, Shannon and Segars, James and Merino, Maria and Nieman, Lynnette K. and Stratton, Pamela},
month = jun,
year = {2008},
pmid = {17662280},
pmcid = {PMC2505050},
keywords = {Adolescent, Adult, Cohort Studies, Endometriosis, Estrogen Antagonists, Female, Humans, Laparoscopy, Middle Aged, Ovary, Raloxifene Hydrochloride, Urinary Bladder, Uterus},
pages = {1632--1636}
}
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DESIGN: Secondary data analysis. SETTING: Government research hospital. PATIENT(S): One hundred thirty-three women with chronic pelvic pain and endometriosis who underwent laparoscopic surgery between 1999 and 2004. INTERVENTION(S): Laparoscopic excision of lesions, including recording of lesion characteristics and surgical impression of the lesions. MAIN OUTCOME MEASURE(S): All biopsies were sent for histological examination for endometriosis, and surgical and histological findings were compared. RESULT(S): Three hundred fifty-seven of 544 lesions believed to be endometriosis by the surgeon had positive histology. Mixed-color lesions most commonly contained endometriosis (76%), with the percentage of positive lesions being similar between single-color groups. Among subtle (red or white) lesions, 58% (164/283) were positive for endometriosis. Thirty women had only red or white lesions, and 18 (60%) had at least one lesion positive for endometriosis. Lesions were most commonly located in the cul-de-sac (64%), utero-sacral ligaments (68%), and ovarian fossa (70%). CONCLUSION(S): Wide, deep, mixed-color lesions in the cul-de-sac, the ovarian fossa, or the utero-sacral ligaments had the highest frequency of endometriosis. More than half of subtle lesions had endometriosis. These results should be considered when diagnosing endometriosis.","language":"eng","number":"6","journal":"Fertility and Sterility","author":[{"propositions":[],"lastnames":["Stegmann"],"firstnames":["Barbara","J."],"suffixes":[]},{"propositions":[],"lastnames":["Sinaii"],"firstnames":["Ninet"],"suffixes":[]},{"propositions":[],"lastnames":["Liu"],"firstnames":["Shannon"],"suffixes":[]},{"propositions":[],"lastnames":["Segars"],"firstnames":["James"],"suffixes":[]},{"propositions":[],"lastnames":["Merino"],"firstnames":["Maria"],"suffixes":[]},{"propositions":[],"lastnames":["Nieman"],"firstnames":["Lynnette","K."],"suffixes":[]},{"propositions":[],"lastnames":["Stratton"],"firstnames":["Pamela"],"suffixes":[]}],"month":"June","year":"2008","pmid":"17662280","pmcid":"PMC2505050","keywords":"Adolescent, Adult, Cohort Studies, Endometriosis, Estrogen Antagonists, Female, Humans, Laparoscopy, Middle Aged, Ovary, Raloxifene Hydrochloride, Urinary Bladder, Uterus","pages":"1632--1636","bibtex":"@article{stegmann_using_2008,\n\ttitle = {Using location, color, size, and depth to characterize and identify endometriosis lesions in a cohort of 133 women},\n\tvolume = {89},\n\tissn = {1556-5653},\n\tdoi = {10.1016/j.fertnstert.2007.05.042},\n\tabstract = {OBJECTIVE: To correlate histology with endometriosis characteristics.\nDESIGN: Secondary data analysis.\nSETTING: Government research hospital.\nPATIENT(S): One hundred thirty-three women with chronic pelvic pain and endometriosis who underwent laparoscopic surgery between 1999 and 2004.\nINTERVENTION(S): Laparoscopic excision of lesions, including recording of lesion characteristics and surgical impression of the lesions.\nMAIN OUTCOME MEASURE(S): All biopsies were sent for histological examination for endometriosis, and surgical and histological findings were compared.\nRESULT(S): Three hundred fifty-seven of 544 lesions believed to be endometriosis by the surgeon had positive histology. Mixed-color lesions most commonly contained endometriosis (76\\%), with the percentage of positive lesions being similar between single-color groups. Among subtle (red or white) lesions, 58\\% (164/283) were positive for endometriosis. Thirty women had only red or white lesions, and 18 (60\\%) had at least one lesion positive for endometriosis. Lesions were most commonly located in the cul-de-sac (64\\%), utero-sacral ligaments (68\\%), and ovarian fossa (70\\%).\nCONCLUSION(S): Wide, deep, mixed-color lesions in the cul-de-sac, the ovarian fossa, or the utero-sacral ligaments had the highest frequency of endometriosis. More than half of subtle lesions had endometriosis. These results should be considered when diagnosing endometriosis.},\n\tlanguage = {eng},\n\tnumber = {6},\n\tjournal = {Fertility and Sterility},\n\tauthor = {Stegmann, Barbara J. and Sinaii, Ninet and Liu, Shannon and Segars, James and Merino, Maria and Nieman, Lynnette K. and Stratton, Pamela},\n\tmonth = jun,\n\tyear = {2008},\n\tpmid = {17662280},\n\tpmcid = {PMC2505050},\n\tkeywords = {Adolescent, Adult, Cohort Studies, Endometriosis, Estrogen Antagonists, Female, Humans, Laparoscopy, Middle Aged, Ovary, Raloxifene Hydrochloride, Urinary Bladder, Uterus},\n\tpages = {1632--1636}\n}\n\n","author_short":["Stegmann, B. J.","Sinaii, N.","Liu, S.","Segars, J.","Merino, M.","Nieman, L. 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