Clinica e Investigacion en Ginecologia y Obstetricia最新文献_第6页

Abortion by request in advanced maternal age: What changes in contraception? 高龄产妇要求堕胎：避孕措施有何变化？

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Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2023-12-22 DOI: 10.1016/j.gine.2023.100932

V. Vieira , C. Silva , A. Português Duarte, I. Santos Silva

{"title":"Abortion by request in advanced maternal age: What changes in contraception?","authors":"V. Vieira , C. Silva , A. Português Duarte, I. Santos Silva","doi":"10.1016/j.gine.2023.100932","DOIUrl":"https://doi.org/10.1016/j.gine.2023.100932","url":null,"abstract":"<div><h3>Overview and aim</h3><p>Pregnancy at an advanced maternal age has become a reality. The acceptance rate of an unwanted pregnancy in this age group is lower, resulting in a higher proportion of pregnancy interruptions. This study aims to characterize abortion by request (AR) in advanced maternal age.</p></div><div><h3>Methods</h3><p>Descriptive study of AR requested by women aged 40 years old or older, over a period of six years, in an Obstetrics service of a Portuguese tertiary hospital. Descriptive data analysis was performed using SPSS® version 26.</p></div><div><h3>Results</h3><p>194 women were included in the study (<em>n</em>  <!-->194), with a median age of 42 years, most of them Portuguese (94.3%) and with no history of performing AR (75.2%). The contraceptive methods used prior to AR were used oral contraception (47.0%) and barrier contraception (39.1%). Medical abortion was performed in the entire sample, with a success rate of 96.9%. After AR, intrauterine contraception (44.3%), oral contraception (22.7%) and the vaginal ring (7.2%) were the preferred contraceptive methods.</p></div><div><h3>Discussion/Conclusions</h3><p>Changes in women's health and contraceptive needs motivate new approaches and contraceptive strategies. After AR, a significant percentage of woman chose long-term and non-user-dependent methods. Particularly in women aged 40 or over, these methods, in addition to their highly effective and safe contraceptive role, may bring additional non-contraceptive benefits, namely the therapeutic effect in abnormal uterine bleeding.</p></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"51 2","pages":"Article 100932"},"PeriodicalIF":0.1,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0210573X23001028/pdfft?md5=2a39d6613839ea23fb7cce7ca55d9a37&pid=1-s2.0-S0210573X23001028-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139033777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Actualización del tratamiento de fisioterapia en el abordaje de la endometriosis. Una revisión sistemática 子宫内膜异位症治疗中物理治疗的最新进展。系统回顾

IF 0.1

Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2023-12-21 DOI: 10.1016/j.gine.2023.100929

A. Cabanas-Barja, A. Alonso-Calvete, I. Da Cuña-Carrera

{"title":"Actualización del tratamiento de fisioterapia en el abordaje de la endometriosis. Una revisión sistemática","authors":"A. Cabanas-Barja, A. Alonso-Calvete, I. Da Cuña-Carrera","doi":"10.1016/j.gine.2023.100929","DOIUrl":"https://doi.org/10.1016/j.gine.2023.100929","url":null,"abstract":"<div><p>Endometriosis is a chronic, inflammatory gynecological pathology characterized by the presence of endometrial tissue outside the uterus. Clinical manifestations include chronic pelvic pain, fatigue, dysmenorrhea, dyspareunia, infertility, dysuria and dyschezia. Physical therapy can be part of the symptomatic treatment of endometriosis; therefore, this review aims to analyze the scientific literature to evaluate the effect of physical therapy in endometriosis. A bibliographic search was carried out during the first two weeks of December 2022 in the databases PubMed, Medline, Scopus, Web of Science, PEDro, CINAHL and ENFISPO. The descriptors “Endometriosis” “Physical Therapy Modalities”, “Physiotherapy”, “Physiotherapist”, “Physical therapy” and “Physical rehabilitation” were used. Results were limited to randomized clinical studies published in English or Spanish. A total of 943 results were obtained, of which 6 were selected after applying the eligibility criteria. The selected studies develop different physiotherapy interventions with techniques such as electrotherapy with TENS and high intensity pulsed laser, progressive muscle relaxation training, aerobic training, manual therapy, and therapeutic exercise through yoga. Physiotherapy appears to provide benefits in terms of reducing pelvic pain and improving quality of life in women with endometriosis.</p></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"51 1","pages":"Article 100929"},"PeriodicalIF":0.1,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138839837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cáncer de mama metaplásico: a propósito de un caso 转移性乳腺癌：病例报告

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Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2023-12-07 DOI: 10.1016/j.gine.2023.100926

N. Camejo , F. Nantes , C. Castillo , D. Centurion , G. Krygier

{"title":"Cáncer de mama metaplásico: a propósito de un caso","authors":"N. Camejo , F. Nantes , C. Castillo , D. Centurion , G. Krygier","doi":"10.1016/j.gine.2023.100926","DOIUrl":"https://doi.org/10.1016/j.gine.2023.100926","url":null,"abstract":"<div><h3>Introduction</h3><p>Metaplastic breast carcinoma (MBC) is a rare and aggressive type of breast cancer that is often diagnosed in advanced stages, with large tumors and a high histological grade. In this study, we present a case of MBC, and conduct a review and discussion of the related literature.</p></div><div><h3>Main symptoms or clinical findings</h3><p>A 35-year-old patient with no relevant personal or family history presents with a progressively growing 2 cm breast mass, which, over time, develops into nipple retraction and breast pain. A breast ultrasound reveals a suspicious-looking polilobulated solid mass. In summary: a BI-RADS 5 mass in the left breast.</p></div><div><h3>Main diagnoses, therapeutic interventions, and outcomes</h3><p>A core biopsy is performed, and the pathology report reveals an infiltrating ductal carcinoma, metaplastic variety, triple-negative with PDL1 expression > 1%. A modified radical mastectomy is performed. During follow-up, pulmonary metastasis is diagnosed, and the patient receives first and second-line systemic treatment.</p></div><div><h3>Conclusions</h3><p>Given the aggressive nature of this type of tumor and the limited treatment options available, participation in clinical trials may be considered to improve outcomes in these patients. A multidisciplinary approach, and review in a tumor committee are essential to guide therapeutic decisions and provide the best possible care for these patients.</p><p>.</p></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"51 1","pages":"Article 100926"},"PeriodicalIF":0.1,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138550066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Parir después de los 50 años. Estudio piloto observacional 50岁以后生育。观察性试点研究

IF 0.1

Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2023-11-30 DOI: 10.1016/j.gine.2023.100925

M.J. Cuerva , B. Sanchez-Rico , M.A. Leal , L. de Castro , M. de la Calle , J.L. Bartha

{"title":"Parir después de los 50 años. Estudio piloto observacional","authors":"M.J. Cuerva , B. Sanchez-Rico , M.A. Leal , L. de Castro , M. de la Calle , J.L. Bartha","doi":"10.1016/j.gine.2023.100925","DOIUrl":"https://doi.org/10.1016/j.gine.2023.100925","url":null,"abstract":"<div><h3>Objectives</h3><p>To assess whether there is a higher rate of adverse obstetric outcomes, postpartum urinary incontinence, and sexual problems among women who give birth over 50.</p></div><div><h3>Material and methods</h3><p>A single-center ambispective observational study. Rate of cesarean birth, gestational diabetes, preeclampsia, intrauterine growth restriction (IUGR), prematurity, urinary incontinence (Incontinence Questionnaire Short Form [ICIQ-SF]), and sexual dysfunction (Female Sexual Function Index [FSFI-6]) were recorded.</p></div><div><h3>Results</h3><p>Twenty-five (0.06%) of 38,510 births occurred in women over 50 during the study period. There were 16 (64%) cesarean births. Seven (28%) women had gestational diabetes. Preeclampsia was diagnosed in 3 (12%) women. There were 5 (20%) cases of IUGR. There were 5 (20%) preterm births. The differences in the rate of cesarean birth, gestational diabetes, and IUGR between the study group and the total population were statistically significant. The results of the ICIQ-SF and FSFI-6 questionnaires were obtained from 17 women. Some degree of urinary incontinence was found in 7 (41.1%) and sexual dysfunction in 9 (52.9%) women.</p></div><div><h3>Conclusions</h3><p>Pregnancies in women over 50 may be associated with a higher rate of gestational diabetes, IUGR, and preeclampsia. There is a high prevalence of urinary incontinence and sexual problems among these women.</p></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"51 1","pages":"Article 100925"},"PeriodicalIF":0.1,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138471477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Atypical umbilical endometriosis: Microscopic and immunohistochemical characterization 不典型脐带子宫内膜异位症:显微镜和免疫组织化学表征

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Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2023-11-30 DOI: 10.1016/j.gine.2023.100927

M.P. Marín Sánchez , I. Ñiguez Sevilla , S. Cánovas Sanchis

{"title":"Atypical umbilical endometriosis: Microscopic and immunohistochemical characterization","authors":"M.P. Marín Sánchez , I. Ñiguez Sevilla , S. Cánovas Sanchis","doi":"10.1016/j.gine.2023.100927","DOIUrl":"https://doi.org/10.1016/j.gine.2023.100927","url":null,"abstract":"<div><h3>Introduction</h3><p>Atypical endometriosis is considered a precursor lesion to cancer associated with endometriosis. Two types of atypical endometriosis have been proposed: an architectural type with a higher risk of malignancy and a cytological type with a lower potential for malignancy.</p></div><div><h3>Main symptoms and/or clinical findings</h3><p>A 37-year-old Caucasian woman presented with umbilical bleeding coinciding with menstruation. On physical examination, two small, bluish lesions were observed in the umbilical scar.</p></div><div><h3>Primary diagnosis</h3><p>This clinical case is of interest because it describes a lesion of atypical architectural endometriosis located in the navel.</p></div><div><h3>Therapeutic interventions and results</h3><p>The microscopic and immunohistochemical characteristics of the lesion were examined. The presence of nuclear stratification, hyperchromatism, and pleomorphism were observed as microscopic qualities. In terms of the immunohistochemical panel, the degree of cell proliferation was analyzed using Ki 67, BAF250a was used as the surrogate marker of ARID 1A, inflammation was assessed through COX, and estrogen and progesterone receptors were examined. The results showed increased cellular activity, the presence of inflammation, and no mutation of the ARID1a gene, with moderate cell proliferation.</p></div><div><h3>Conclusion</h3><p>Umbilical endometriosis is rare, and while malignancy is infrequent, it is possible. For this reason, a complete anatomopathological study including an immunohistochemical panel should be performed to diagnose atypical endometriosis.</p></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"51 1","pages":"Article 100927"},"PeriodicalIF":0.1,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138471479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Análisis de la inmunidad de las mujeres infectadas por el virus del papiloma humano y su relación con la lesión intraepitelial cervical 人类乳头瘤病毒感染妇女的免疫力及其与宫颈上皮内病变的关系分析

IF 0.1

Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2023-11-30 DOI: 10.1016/j.gine.2023.100928

J. Cantero Piñeiro, E. Ruipérez Pacheco, P. Coronado Martín, S. Sánchez Ramón, L. Fernández Paredes

{"title":"Análisis de la inmunidad de las mujeres infectadas por el virus del papiloma humano y su relación con la lesión intraepitelial cervical","authors":"J. Cantero Piñeiro, E. Ruipérez Pacheco, P. Coronado Martín, S. Sánchez Ramón, L. Fernández Paredes","doi":"10.1016/j.gine.2023.100928","DOIUrl":"https://doi.org/10.1016/j.gine.2023.100928","url":null,"abstract":"<div><h3>Introduction</h3><p>The main objective is to study the NK markers present in circulating blood in patients with high grade intraepithelial cervical lesions compared with women without lesions or low grade lesions. The secondary objectives of the study are to understand the relationship between the NK memory like cells and the infection with HPV, as well as the persistence of the infection.</p></div><div><h3>Methods and materials</h3><p>It is an observational prospective study that studies women from 2019 for 2years seen in ginecology rooms in Hospital Clínico San Carlos. The group of patients studied are: women with infection by HPV and high grade lesions, women with infection by HPV but no lesion or low grade lesion and women without lesion or infection.</p></div><div><h3>Results</h3><p>We have recruited 115 patients. We have found more memory like NK cells in patients infected by HPV. And when we analyze the non-smoking patients, the expression of NKp30 is lower in patients infected without lesion.</p></div><div><h3>Conclusions</h3><p>The results show that there could be less capacity to generate an adaptative function by NK in smoking patients than in non-smoking. A better knowledge of the NK cells biology and its role in the infection by HPV could allow us to manipulate with a therapeutic and prognostic end.</p></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"51 1","pages":"Article 100928"},"PeriodicalIF":0.1,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138471478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Actualización del abordaje de la endometriosis 更新子宫内膜异位症的治疗方法

IF 0.1

Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2023-11-09 DOI: 10.1016/j.gine.2023.100924

F. Carmona , I. Lete , C. Ros

引用次数: 0

Histerectomía laparoscópica en patología benigna en un hospital universitario terciario. Análisis y evolución de un periodo de 8 años 一所三级大学医院良性病理腹腔镜子宫切除术。8年的分析和演变

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Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2023-10-29 DOI: 10.1016/j.gine.2023.100914

J. Álvarez-Sala Torreano, J.Á. López López, I. Lete Lasa

{"title":"Histerectomía laparoscópica en patología benigna en un hospital universitario terciario. Análisis y evolución de un periodo de 8 años","authors":"J. Álvarez-Sala Torreano, J.Á. López López, I. Lete Lasa","doi":"10.1016/j.gine.2023.100914","DOIUrl":"https://doi.org/10.1016/j.gine.2023.100914","url":null,"abstract":"<div><h3>Objective</h3><p>To reflect from the analysis of the data of the number of laparoscopic hysterectomies that each member of a gynaecology service of a tertiary hospital can perform on the convenience of limiting this procedure to a limited number of professionals.</p></div><div><h3>Material and methods</h3><p>Retrospective, descriptive study on hysterectomies performed for any indication in our hospital in the period between May 1, 2014 and April 30, 2022.</p></div><div><h3>Results</h3><p>In this period, we have performed 1548 hysterectomies of which 760 were performed laparoscopically and of these, 289 were indicated for benign pathology. Considering the total number of professionals that make up the pool of surgeons who perform surgery for benign pathology, the average number of laparoscopic hysterectomies per surgeon per year would be 1.4 cases.</p></div><div><h3>Conclusions</h3><p>To ensure adequate quality of surgery, the number of professionals performing laparoscopic hysterectomies in a tertiary hospital should be limited.</p></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"51 1","pages":"Article 100914"},"PeriodicalIF":0.1,"publicationDate":"2023-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91729554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Secuencia anemia-policitemia en la gestación monocorial. Manejo prenatal y resultados perinatales 单胎妊娠贫血-红细胞增多症序列。产前管理和围产期结果

IF 0.1

Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2023-10-10 DOI: 10.1016/j.gine.2023.100913

M.J. Cabrero Gañán, M. Turiel Miranda, I. Duyos Mateo, B. Herrero Ruiz, J.L. Bartha Rasero, E. Antolín Alvarado

{"title":"Secuencia anemia-policitemia en la gestación monocorial. Manejo prenatal y resultados perinatales","authors":"M.J. Cabrero Gañán, M. Turiel Miranda, I. Duyos Mateo, B. Herrero Ruiz, J.L. Bartha Rasero, E. Antolín Alvarado","doi":"10.1016/j.gine.2023.100913","DOIUrl":"https://doi.org/10.1016/j.gine.2023.100913","url":null,"abstract":"<div><h3>Introduction</h3><p>The aim of this paper is to describe and analyze the perinatal outcomes of a series of TAPS cases followed and treated in a Fetal Medicine referral center, in terms of the type of TAPS and the prenatal behavior applied.</p></div><div><h3>Methods</h3><p>Descriptive and inferential statistical analysis with IBM SPSS Statistics software.</p></div><div><h3>Results</h3><p>Thirteen cases of TAPS were diagnosed in a total of 510 monocorial gestations. Most of the spontaneous TAPS were diagnosed at early stages (5 cases), whereas, in post-laser TAPS, 3/6 cases were diagnosed at advanced stages.</p><p>Four fetuses (4/26; 15.4%) presented alterations in neurosonography, 3 (3/14; 21.4%) in spontaneous TAPS and one (1/12, 8.3%) in post-laser TAPS <em>(P</em>=0.308).</p><p>Myocardial hypertrophy was detected in 7 fetuses, 5 (71.4%) of which corresponded to advanced stage TAPS. Four were spontaneous TAPS (4/14; 28.6%) and 3 were post-laser TAPS (3/12; 25%) <em>(P</em>=0.797).</p><p>Eight cases (8/13; 62.5%) required some fetal therapy procedure.</p><p>There were 3 antepartum fetal deaths and one couple decided to legally terminate the pregnancy (19.23%). All 5 losses were stage IV <em>(P</em>=0.008).</p><p>Overall survival was 80.8% (21/26 live newborns). There were no significant differences according to the type of TAPS <em>(P=</em> 0.159) and the prenatal behavior adopted <em>(P=</em>0.746).</p></div><div><h3>Conclusions</h3><p>Spontaneous TAPS is therefore a clinical entity with an impact on perinatal outcomes similar to post-laser. It seems that expectant management and laser achieve higher gestational age at birth.</p></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"51 1","pages":"Article 100913"},"PeriodicalIF":0.1,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49851025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correlation between the ultrasound and laparoscopic findings in deep endometriosis staging: A narrative review 超声与腹腔镜检查在深部子宫内膜异位症分期中的相关性:综述

IF 0.1

Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2023-10-01 DOI: 10.1016/j.gine.2023.100885

P. Rábade , J. Vara , J.L. Alcázar

{"title":"Correlation between the ultrasound and laparoscopic findings in deep endometriosis staging: A narrative review","authors":"P. Rábade , J. Vara , J.L. Alcázar","doi":"10.1016/j.gine.2023.100885","DOIUrl":"https://doi.org/10.1016/j.gine.2023.100885","url":null,"abstract":"<div><p>Many women across the world suffer from endometriosis. This disease should be staged by laparoscopy in order to know the extent of disease. Ultrasound may be a reliable diagnostic tool that could complement laparoscopy for endometriosis staging. The aim of this study is to perform a narrative review of the current status of studies comparing ultrasound findings and laparoscopic staging according to American Society Reproductive Medicine (ASRM) and ENZIAN classifications. A search in PubMed and Web of Science databases from 2004 to 2022 was performed using the following terms “endometriosis”, “ultrasound”, “laparoscopy”, “ENZIAN” and “ASRM”. We focused on the accuracy of sonography using laparoscopy as gold standard. Seven studies were ultimately included. We observed that ultrasound is accurate and correlates well with advanced stages in the case of ASRM classification, and correlates well with ENZIAN classification. However, some limitations came up. There is little scientific information out there regarding this specific topic. Some of the studies have a retrospective design and one of them has a small sample size. In addition to this, even if ultrasound could have a relevant role in staging deep endometriosis, this method is highly dependent on the operator's experience. We conclude that diagnostic performance of transvaginal ultrasound (TVS) for evaluating the extent of disease in women with pelvic endometriosis is high. However, evidence is still limited and further studies are needed.</p></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"50 4","pages":"Article 100885"},"PeriodicalIF":0.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49863281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0