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KMID : 0358420110540080448
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Korean Journal of Obstetrics and Gynecology
2011 Volume.54 No. 8 p.448 ~ p.453
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Prognosis of endometriosis after surgical treatment in adolescents below 20 year age
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Sung Na-Young
Kim Bong-Seok
Cho Yeon-Jean
Choo Youn-Sil
Kim Joo-Myung
Yang Seung-Heon
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Abstract
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Objective: To evaluate the clinical characteristics and prognosis of surgically treated endometriosis in adolescent women below 20 year age.
Methods: A retrospective review was conducted on patients diagnosed endometriosis on operation below 20 year age at Cheil General Hospital between January 2001 and October 2010. Clinical characteristics, treatment results and follow-up data for 79 women were collected.
Results: The mean age at operation was 18.5 year age, and in 5 cases (6.3%) the operation was performed at ≤ 15 year age. Mullerian anomalies were accompanied in 6 cases (7.6%). Seventy-nine per cent of patients had pain associated symptoms such as dysmenorrhea, non cyclic pelvic pain, and gastrointestinal pain. Endometriosis was found to be stage I in 20.3% of patients, stage II in 7.6% of patients, stage III in 40.5% of patients and stage IV in 31.6% of patients. We could not find any recurrence in patients with stage I and II endometriosis, however patients with stage III and IV endometriosis showed recurrence rates of 15.6% and 28.0%, respectively, during the mean follow-up period (33.7 ± 28.5 months). During the 36-month follow-up, the cumulative proportion of subjects free from endometrioma recurrence was 82.5%, but the rate increased as the follow-up period was extended.
Conclusion: Endometriosis can occur in adolescents and the recurrence rate is higher in advanced stage. As endometriosis is a progressive disease, early diagnosis and treatment during adolescence may be necessary.
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KEYWORD
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metriosis, Adolescent, Recurrence, Mullerian anomaly.
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