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KMID : 0358420120550020083
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Korean Journal of Obstetrics and Gynecology
2012 Volume.55 No. 2 p.83 ~ p.88
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Clinicopathologic review of extrapelvic endometriosis
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Lee Seong-Eui
Jeong Ju-Eun
Joo Jong-Kil
Lee Kyu-Sup
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Abstract
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Objective: To evaluate the clinicopathologic features of extrapelvic endometriosis in order to help diagnosis and treatment.
Method: Thirty patients with extrapelvic endometriosis were surgically diagnosed at Pusan National University Hospital from January 1998 to December 2010. We retrospectively reviewed the medical records such as age, symptoms, preoperative diagnosis, past surgical history.
Results: There were 30 patients who were diagnosed extrapelvic endometriosis surgically with a mean age of 38 years. The main symptom was palpable mass with pain, noncyclic (33%, n=9), or cyclic (67%, n=21). Fifteen endometriomas were found in the previous scar of cesarean section and laparoscopic surgery. Three endometriomas were noted in episiotomy site and ten were in cervix. Inguinal and vaginal endometriosis, one case was investigated, respectively.
Conslusion: Diagnosis of extrapelvic endometriosis is difficult to diagnose because of its rarity and diversity of symptoms. Thus, It must be kept in mind as one of the differential diagnosis to treat patients with pain or palpable mass during menstrual cycle in or around surgical scars, even if vaginal spotting or abnormal pap test. Radical local excision help to treat and prevent recurrence of extrapelvic endometriosis.
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KEYWORD
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Extrapelvic emdometriosis, Symptom, Diagnosis, Treatment
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