Abstract
Endometriosis is classically defined by the presence of endometrial glands and stroma in regions remote from the uterine cavity. Evidence is increasing that different types of implants may represent different stages in the evolution of the disease and be associated with a different pathophysiology. The question has also been posed whether these types have different laparoscopic appearances. This chapter discusses the concept of endometriosis as a progressive disease, but self-limiting and therefore producing multiple appearances. A classification system for the morphological and laparoscopic appearances is attempted.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Vasquez, G., Cornillie, F. and Brosens, I.A. (1984). Peritoneal endometriosis: scanning electron microscopy and histology of minimal pelvic endometriotic lesions. Fertil. Steril., 42, 696–703
Murphy, A.A., Green, W.R., Bobbie, D., de la Cruz, Z.C. and Rock, J. (1986). Unsuspected endometriosis documented by scanning electron microscopy in visually normal peritoneum. Fertil. Steril., 46, 522–524
Roddick, J.W., Conkey, G. and Jacobs, E.J. (1960). The hormonal response of endometrium in endometriotic implants and its relationship to symptomatology. Am. J. Obstet. Gynecol., 79, 1173–117
Schweppe, K.W., Wynn, R.M. and Beller, F.K. (1984). Ultrastructural comparison of endometriotic implants and eutopic endometrium. Am. J. Obstet. Gynecol., 148, 1024–1039
Nieminen, U. (1962). Studies on the vascular pattern of ectopic endometrium with special reference to cyclic changes. Acta Obstet. Gynecol. Scand., 41 (suppl. 3), 1–81
Jansen, R.P. and Russel, P. (1986). Nonpigmented endometriosis: clinical, laparoscopic, and pathologic definition. Am. J. Obstet. Gynecol., 155, 1154–1159
Stripling, M.C., Martin, D.C., Chatman, D.L., Vander Zwaag, R. and Poston W.M. (1988). Subtle appearance of pelvic endometriosis. Fertil. Steril., 49, 427–431
Redwine, D.B. (1987). The distribution of endometriosis in the pelvis by age groups and fertility. Fertil. Steril., 47, 173–175
Hughesdon, P.E. (1957). The structure of the endometrial cyst of the ovary. J. Obstet. Gynaecol. Br. Empire, 64, 481–487
Evers, J.L.H. (1987). The second-look laparoscopy for evaluation of the result of medical treatment of endometriosis should not be performed during ovarian suppression. Fertil. Steril., 47, 502–504
Cornillie, F.J., Vasquez, G. and Brosens, I. (1985). The response of human endometriotic implants to the anti-progesterone steroid R2323: a histologic and ultrastructural study. Pathol. Res. Pract., 180, 647–655
Brosens, I.A., Verleyen, A. and Cornillie, F. (1987). The morphologic effect of short-term medical therapy of endometriosis. Am. J. Obstet. Gynecol., 157, 1215–1221
Brosens, I.A., Cornillie, F., Koninckx, P. and Vasquez, G. (1985). Evolution of the Revised American Fertility Society Classification of Endometriosis (letter). Fertil. Steril., 44, 714–716
Vernon, M.W., Beard, J.S., Graves, K. and Wilson, E.A. (1986). Classification of endometriotic implants by morphologic appearance and capacity of synthesize prostaglandin F. Fertil. Steril., 46, 801–806
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1991 Springer Science+Business Media Dordrecht
About this chapter
Cite this chapter
Brosens, I.A. (1991). The endometriotic implant. In: Thomas, E.J., Rock, J.A. (eds) Modern Approaches to Endometriosis. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-3864-2_2
Download citation
DOI: https://doi.org/10.1007/978-94-011-3864-2_2
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-010-5719-6
Online ISBN: 978-94-011-3864-2
eBook Packages: Springer Book Archive