Correlation between laparoscopic and histological diagnosis in patients with endometriosis

Abstract

This is a study to detect the correlation between laparoscopic diagnosis of endometriosis and histological findings. It is a retrospective study of 63 patients undergoing laparoscopy for pelvic pain at the University Hospital of North Durham, of whom 48 had excision of endometriosis. Scissors and graspers were used to dissect suspected endometriotic lesions laparoscopically. The tissues obtained were examined at the histology department to confirm the diagnosis. Positive histology for endometriosis was confirmed in 75% of cases, the histology was negative in 18.7% and in 6.3% was non-diagnostic. The study confirmed that correlation between laparoscopic findings and positive histology was dependent on the site of lesion and the stage of endometriosis. As more information was provided to the laboratory and as the pathologists became accustomed to looking for the disease, there was a higher detection of endometriosis.

Evaluation of high-sensitivity C-reactive protein in comparison with C-reactive protein as biochemical serum markers in women with endometriosis

“…This may also lead to misclassification, especially in the lower stages of the disease. The correlation between laparoscopic findings and positive histology appears to depend on the site of the lesion, the stage of endometriosis, and the extent to which the pathologist is informed about the clinical findings (24). This may also suggest possible bias, leading to different results in the clinical classification of endometriosis.…”

An evidence‐based approach to assessing surgical versus clinical diagnosis of symptomatic endometriosis

“…These criteria were established before appreciation of the prevalence of non‐blue and/or black lesions and without understanding of the natural history of superficial peritoneal endometriosis lesions. As shown in Table , a survey of studies that evaluated the accuracy of laparoscopic identification reveals that as many as 67% of lesions considered to be endometriosis on visual inspection were not confirmed histologically . The potential for false positives was generally higher at stages I and II in comparison with III and IV, although there is an apparent decrease in PPV between stages III and IV.…”

Dolor pélvico crónico: Más allá de la endometriosis

“…La correlación entre los hallazgos laparoscópicos y el resultado positivo de patología depende del sitio de la lesión y el estadio de la endometriosis. Y, sabiendo que la endometriosis no es usualmente un diagnóstico aislado en las pacientes con DPC y que suele acompañarse de otros varios generadores dolorosos, en estas pacientes siempre debe incluirse una búsqueda sistemática de todas las otras causas viscerales o somáticas de dolor, ya que las pacientes con DPC asociado o no a endometriosis suelen tener síntomas idénticos (14,(27)(28)(29)(30)(31) .…”