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      Endometriosis de pared abdominal: a propósito de un caso


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          Presentamos el caso de una paciente de 35 años, IV gestas, II para, II cesáreas + esterilización quirúrgica, que acudió a médico privado por tumoración en abdomen desde su último embarazo (3 años), evidenciándose tumor de 6 x 2 cm aproximadamente en línea paraesternal derecha infraumbilical a 8 cm de cicatriz transversa baja infraumbilical. Se realiza excéresis completa de la masa, que fue reportada como endometriosis

          Translated abstract

          We present the case of a 35 years old patient, gravida IV, paraous II, II cesareans + tubal ligation, who consulted to a private physician for abdominal mass since her last pregnancy (3 years), finding a 6 x 2 cm tumor in the infraumbilical right parasternal line at 8 cm from infraumbilical low transverse scar. A total exeresis of the mass was performed and the tissue was reported as endometriosis

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          Most cited references55

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          Suggestive evidence that pelvic endometriosis is a progressive disease, whereas deeply infiltrating endometriosis is associated with pelvic pain.

          In a 3-year prospective study of 643 consecutive laparoscopies for infertility, pelvic pain, or infertility and pain, the pelvic area, the depth of infiltration, and the volume of endometriotic lesions were evaluated. The incidence, area, and volume of subtle lesions decreased with age, whereas for typical lesions these parameters and the depth of infiltration increased with age. Deeply infiltrating endometriosis was strongly associated with pelvic pain, women with pain having larger and deeper lesions. Because deep endometriosis has little emphasis in the revised American Fertility Society classification and after analyzing the diagnoses made in each class, considerations for a simplifying revision with inclusion of deep lesions are suggested. In conclusion, suggestive evidence is presented to support the concept that endometriosis is a progressive disorder, and it is demonstrated that deep endometriosis is strongly associated with pelvic pain.
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            The development of the implantation theory for the origin of peritoneal endometriosis

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              Elevated serum concentrations of CA-125 in patients with advanced endometriosis.

              CA-125 is a high-molecular-weight glycoprotein that is expressed on the cell surface of some derivatives of embryonic coelomic epithelium. Based on results of an immunoradiometric assay developed to detect CA-125 in peripheral blood, 82% of patients with ovarian cancer and less than 1% of apparently healthy controls have elevated peripheral blood levels of CA-125. Because endometriotic lesions are likely to be derivatives of embryonic coelomic epithelium, the authors investigated serum CA-125 levels in patients with endometriosis. Preoperative serum CA-125 concentrations were measured in 147 patients undergoing diagnostic laparoscopy or laparotomy. Serum CA-125 concentrations were elevated in patients with stage III or IV endometriosis, compared with controls with negative diagnostic laparoscopies (66.5 +/- 14.5 versus 8.20 +/- 0.59 U/ml, mean +/- standard error of the mean; P less than 0.001). Fifty-four percent of patients with stage III or IV endometriosis and 0% of the controls had CA-125 levels greater than 35 U/ml. Occasional patients with stage II endometriosis (13%), leiomyomata uteri (14%), and chronic pelvic inflammatory disease (5%) also had serum CA-125 concentrations greater than 35 U/ml. Immunocytochemical techniques demonstrated the presence of CA-125 on the cell surface of endometriotic lesions.

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                Revista de Obstetricia y Ginecología de Venezuela
                Rev Obstet Ginecol Venez
                Sociedad de Obstetricia y Ginecología de Venezuela (Caracas )
                September 2001
                : 61
                : 3
                : 195-200
                [1 ] Maternidad ConcepcION Palacios



                SciELO Venezuela

                Self URI (journal page): http://www.scielo.org.ve/scielo.php?script=sci_serial&pid=0048-7732&lng=en

                Obstetrics & Gynecology
                Endometriosis,Abdomen,Cesarean section,Sca,Cicatriz,Cesárea
                Obstetrics & Gynecology
                Endometriosis, Abdomen, Cesarean section, Sca, Cicatriz, Cesárea


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