Ten year analysis of endometriosis cases: Single center results

Abstract

Aim: Endometriosis is a benign, chronic inflammatory disease that often involves the presence and enlargement of endometrial glands and stroma outside of the uterus. Endometriosis foci are often seen in the abdominal cavity, in the ovaries, Phallopian tubes, ligament structures, on the outer surface of the uterus and the inner surface of the pelvis. The most common symptoms are chronic pelvic pain, dysmenorrhea, and infertility. In our study, we aimed to determine the localization of endometriosis, accompanying symptoms and other accompanying lesions due to the prevalence of endometriosis and its involvement in many different regions.

Materials and Methods: 330 cases diagnosed with endometriosis in the Department of Pathology between 2010 and 2020 were scanned through the hospital information system. The patients diagnosed with endometriosis were analyzed retrospectively in terms of age, complaints, endometriosis location, accompanying malignant and benign lesions and frozen examination.

Results: There were 330 patients diagnosed with endometriosis. The average age of the patients was 45 (SS 11,23), and it was observed that the latest patient was 11 years old and the oldest patient was 87 years old. It was observed that the patients applied to the gynecology and obstetrics clinic with complaints of pelvic mass (79%), abnormal uterine bleeding (19%) and pelvic pain (2%). It was observed that the most frequently affected area was the right (32,4%) and the left ovary (33%). In addition, bilateral ovarian involvement was observed in 46(13,9%) patients and abdominal skin involvement in 29(8,8%) patients (Table 1). Frozen examination was performed on 87(26,3%) patients and 70(80%) patients were diagnosed as benign and 17(20%) patients were diagnosed as malignant.

Conclusion: Endometriosis is an important disease due to its widespread prevalence in the society, significantly decreasing the quality of life of the person and causing a suspicion of malignancy by forming a mass. Although the pathogenesis of endometriosis has not been clearly explained, retrograde menstruation theory is accepted today. It is a disease that can be easily treated with medical or surgical treatments. It has been reported that especially endometrioid adenocarcinoma and clear cell carcinoma are associated with endometriosis in patients with ovarian

Aim: Endometriosis is a benign, chronic inflammatory disease that often involves the presence and enlargement of endometrial glands and stroma outside of the uterus. Endometriosis foci are often seen in the abdominal cavity, in the ovaries, Phallopian tubes, ligament structures, on the outer surface of the uterus and the inner surface of the pelvis. The most common symptoms are chronic pelvic pain, dysmenorrhea, and infertility. In our study, we aimed to determine the localization of endometriosis, accompanying symptoms and other accompanying lesions due to the prevalence of endometriosis and its involvement in many different regions.

Materials and Methods: 330 cases diagnosed with endometriosis in the Department of Pathology between 2010 and 2020 were scanned through the hospital information system. The patients diagnosed with endometriosis were analyzed retrospectively in terms of age, complaints, endometriosis location, accompanying malignant and benign lesions and frozen examination.

Results: There were 330 patients diagnosed with endometriosis. The average age of the patients was 45 (SS 11,23), and it was observed that the latest patient was 11 years old and the oldest patient was 87 years old. It was observed that the patients applied to the gynecology and obstetrics clinic with complaints of pelvic mass (79%), abnormal uterine bleeding (19%) and pelvic pain (2%). It was observed that the most frequently affected area was the right (32,4%) and the left ovary (33%). In addition, bilateral ovarian involvement was observed in 46(13,9%) patients and abdominal skin involvement in 29(8,8%) patients (Table 1). Frozen examination was performed on 87(26,3%) patients and 70(80%) patients were diagnosed as benign and 17(20%) patients were diagnosed as malignant.

Conclusion: Endometriosis is an important disease due to its widespread prevalence in the society, significantly decreasing the quality of life of the person and causing a suspicion of malignancy by forming a mass. Although the pathogenesis of endometriosis has not been clearly explained, retrograde menstruation theory is accepted today. It is a disease that can be easily treated with medical or surgical treatments. It has been reported that especially endometrioid adenocarcinoma and clear cell carcinoma are associated with endometriosis in patients with ovarian cancer.

cancer.