TY - JOUR
TI - Ovarian endometriosis associated with ovarian cancer and
endometrial-endocervical polyps
AU - Kontoravdis, Antonios
AU - Augoulea, Areti
AU - Lambrinoudaki, Irene and
AU - Christodoulakos, George
AU - Tzortziotis, Dimitrios
AU - Grammatikakis,
AU - Ioannis
AU - Kontoravdis, Nikolaos
AU - Creatsas, George
JO - Journal of Obstetrics and Gynaecology Research
PY - 2007
VL - 33
TODO - 3
SP - 294-298
PB - Wiley
SN - 1341-8076, 1447-0756
TODO - 10.1111/j.1447-0756.2007.00527.x
TODO - endocervical polyp; endometrial polyp; endometriosis; ovarian cancer
TODO - 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.
ER -