| Diagnosis of endometriosis. | |
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MedLine Citation:
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PMID: 12917789 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Endometriosis is a common disorder of women of reproductive age, yet diagnosis of this condition is often problematic. The most frequent clinical presentations of endometriosis include dysmenorrhea, pelvic pain, dyspareunia, infertility, and pelvic mass. However, the correlation between these symptoms and the stage of endometriosis is poor. Currently available laboratory markers are of limited value. At present, the best marker, serum CA-125, is usually elevated only in advanced stages and therefore not suitable for routine screening. Transvaginal ultrasound and magnetic resonance imaging are often helpful, particularly in detection of endometriotic cysts. Recently, transrectal ultrasound and magnetic resonance imaging were shown to be valuable in detection of deep infiltrating lesions, especially in the rectovaginal septum. Although direct assessment of endometriotic foci at laparoscopy may be viewed as a "gold standard" for identifying endometriosis, the correlation of laparoscopic observations with histological findings is often low. Ultimately, diagnosis of endometriosis requires a careful clinical evaluation in combination with judicious use and critical interpretation of laboratory tests, imaging techniques, and, in most instances, surgical staging combined with histological examination of excised lesions. |
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Authors:
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Robert Z Spaczynski; Antoni J Duleba |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Seminars in reproductive medicine Volume: 21 ISSN: 1526-8004 ISO Abbreviation: Semin. Reprod. Med. Publication Date: 2003 May |
Date Detail:
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Created Date: 2003-08-14 Completed Date: 2004-03-02 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 100909394 Medline TA: Semin Reprod Med Country: United States |
Other Details:
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Languages: eng Pagination: 193-208 Citation Subset: IM |
Affiliation:
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Division of Infertility and Reproductive Endocrinology, Department of Gynecology and Obstetrics, Karol Marcinkowski University of Medical Sciences, Poznan, Poland. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Diagnostic Imaging Diagnostic Techniques, Surgical Endometriosis / diagnosis* Female Humans Laboratory Techniques and Procedures Physical Examination |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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