Document Detail

Clinical characteristics of adolescent endometriosis.
MedLine Citation:
PMID:  8399247     Owner:  NLM     Status:  MEDLINE    
Our study objective was to describe the appearance, stage, and treatment of endometriosis in adolescents undergoing laparoscopic treatment of severe dysmenorrhea and endometriosis. We designed a retrospective analysis of adolescents with endometriosis whose primary symptom was severe dysmenorrhea. We studied patients in a private practice associated with a residency program. Forty-nine adolescents with histologically confirmed endometriosis underwent laparoscopy. Thirty-six of these patients (mean age, 16.6 +/- 1.4 years; range, 13-20 years) presented with severe dysmenorrhea in a non-emergency state and were refractory to prior therapy. All patients underwent laparoscopic surgery. We classified endometriosis implants as typical implants, red lesions, and occult lesions in thirty-six adolescents. We excised infiltrating lesions (defined as implants penetrating greater than 3-5 mm) and vaporized or coagulated superficial lesions (defined as surface implants or those penetrating < 3 mm). All adolescents underwent postsurgical ovulation suppression with a daily birth control pill. The need for reoperation at any time or the use of GnRH analogs, Danazol, or large doses of progestins served to indicate treatment failure. The presence or absence of red lesions was recorded in this group and compared to the presence or absence of such lesions in an older population of patients undergoing definitive therapy for endometriosis during the same time period. Our results showed that red lesions are the predominant implant type in adolescents. Adolescents with cyclic pain and those who complain of abdominal pain, nausea, constipation, and diarrhea, during menses had the largest proportion of red lesions.(ABSTRACT TRUNCATED AT 250 WORDS)
G D Davis; E Thillet; J Lindemann
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of adolescent health : official publication of the Society for Adolescent Medicine     Volume:  14     ISSN:  1054-139X     ISO Abbreviation:  J Adolesc Health     Publication Date:  1993 Jul 
Date Detail:
Created Date:  1993-10-27     Completed Date:  1993-10-27     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9102136     Medline TA:  J Adolesc Health     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  362-8     Citation Subset:  IM    
Maricopa Medical Center, St. Joseph's Hospital and Medical Center, Arizona.
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MeSH Terms
Dysmenorrhea / etiology,  pathology,  surgery
Electrocoagulation / instrumentation
Endometriosis / diagnosis*,  pathology,  surgery
Follow-Up Studies
Hysterectomy, Vaginal / instrumentation
Laser Therapy / instrumentation
Neoplasm Staging
Pelvic Neoplasms / diagnosis*,  pathology,  surgery
Peritoneum / pathology
Uterine Neoplasms / diagnosis*,  pathology,  surgery
Uterus / pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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