@article{3117217,
    title = "Ovarian endometriosis associated with ovarian cancer and
endometrial-endocervical polyps",
    author = "Kontoravdis, Antonios and Augoulea, Areti and Lambrinoudaki, Irene and and Christodoulakos, George and Tzortziotis, Dimitrios and Grammatikakis, and Ioannis and Kontoravdis, Nikolaos and Creatsas, George",
    journal = "Journal of Obstetrics and Gynaecology Research",
    year = "2007",
    volume = "33",
    number = "3",
    pages = "294-298",
    publisher = "Wiley",
    issn = "1341-8076, 1447-0756",
    doi = "10.1111/j.1447-0756.2007.00527.x",
    keywords = "endocervical polyp; endometrial polyp; endometriosis; ovarian cancer",
    abstract = "Aim: To determine the prevalence of ovarian cancer and endometrial
polyps in women with moderate and severe ovarian endometriosis.
Methods: A retrospective analysis of 667 cases of moderate and severe
endometriosis laparoscopically and histologically confirmed during the
period 1997-2004.
Results: One hundred and ninety-three (29%) of cases were American
Fertility Society (AFS) stage III (moderate endometriosis) and 473
(71%) were AFS stage IV (severe endometriosis). Ovarian cancer was
diagnosed in 13 cases (2.0%), while an endometrial or endocervical
polyp was identified in 35 cases (5.3%). The incidence of endometrial
polyps in the group with moderate endometriosis tended to be higher
(15/193, 7.8%) than in the group with severe endometriosis (20/473,
4.2%), and the same results were obtained in the ovarian cancer group
(moderate: 6/193, 3.1%; severe: 7/473, 1.5%). However, neither of the
two differences was statistically significant.
Conclusions: Ovarian endometriosis may be associated with an increased
incidence of both ovarian cancer and endometrial polyps. Careful
evaluation for coexistent pathology should be undertaken in women with
symptomatic endometriosis."
}