Résumé
L’endométriose est définie par la présence en situation ectopique d’épithélium endométrial et de stroma. Cette maladie bénigne, due à un tissu hormonodépendant, est le plus souvent diagnostiquée à un moment de son évolution, où se sont constituées des séquelles et/ou une réaction du tissu sur lequel l’endomètre est greffé. Ces séquelles ou cette « hypertrophie réactionnelle » du tissu hôte sont en règle hormono-indépendants ou insensibles. À ce stade, la chirurgie devient le seul recours efficace, mais il faut connaître et tenir compte de ses limites: récidives des adhérences péritonéales, non prise en compte des causes ou mécanismes de la maladie, non-traitement des lésions microscopiques.
Abstract
Endometriosis is defined by the presence of ectopic endometrial epithelium and stroma. This benign disease due to hormone-dependent tissue is most often diagnosed at some time during its development, made up of sequelae and/or a reaction of the tissue under the endometrium. These sequelae or this “reactional hypertrophy” of the host tissue are as a rule hormone-independent or insensitive. At this stage, surgery becomes the only effective option, but its limits should be recognised and taken into account: recurrence of peritoneal adhesions, non-consideration of the causes or mechanisms of the disease, non-treatment of microscopic lesions.
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Canis, M., Jardon, K., Rabischong, B. et al. Stratégie thérapeutique dans l’endométriose. Pelv Perineol 4, 283–290 (2009). https://doi.org/10.1007/s11608-009-0268-3
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DOI: https://doi.org/10.1007/s11608-009-0268-3