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Ovarian endometriosis associated with ovarian cancer and endometrial–endocervical polyps
Author(s) -
Kontoravdis Antonios,
Augoulea Areti,
Lambrinoudaki Irene,
Christodoulakos George,
Tzortziotis Dimitrios,
Grammatikakis Ioannis,
Kontoravdis Nikolaos,
Creatsas George
Publication year - 2007
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2007.00527.x
Subject(s) - endometriosis , medicine , endometrial polyp , incidence (geometry) , gynecology , ovarian cancer , stage (stratigraphy) , endometrial cancer , cancer , hysteroscopy , paleontology , physics , optics , biology
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.