Fallopian tube endometriosis in women undergoing operative video laparoscopy and its clinical implications

McGuinness, Bailey Gill; Nezhat, Farr; Ursillo, Lauren; Akerman, Meredith; Vintzileos, William S.; White, Michael P.

doi:10.1016/j.fertnstert.2020.05.026

Cited by 13 publications

(9 citation statements)

References 53 publications

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“…None of the cases reported in China or in our study were diagnosed before surgery. McGuinness et al [ 11 ] found that TEM was more common than we expected. In patients with pelvic pain, adnexal cysts or infertility, 12% of the patients had visible tubal lesions through laparoscopic surgery, and 42.5% had only microscopic lesions confirmed by postoperative pathology.…”

Section: Discussionsupporting

confidence: 54%

Diagnosis and treatment of tubal endometriosis in women undergoing laparoscopy: A case series from a single hospital

Jiao¹,

Song²,

Feng³

et al. 2022

World J Clin Cases

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BACKGROUND Tubal endometriosis (TEM) is a category of pelvic endometriosis (EM) that is characterized by ectopic endometrial glands and/or stroma within any part of the fallopian tube. The fallopian tubes may be a partial source of ovarian endometriosis (OEM). TEM is difficult to diagnose during surgery and is usually detected by pathology after surgery. AIM To provide a clinical basis for the diagnosis and treatment of TEM. METHODS In this study, the data of 30 patients who underwent laparoscopic salpingectomy due to various gynecological diseases and had pathological confirmation of TEM at our hospital were retrospectively analyzed, and the clinical basis for the diagnosis and treatment of TEM was evaluated. RESULTS Among 1982 surgical patients, 30 met the study criteria. Among those, 6 patients had a history of infertility, 12 patients had a history of artificial abortion, 13 patients had a history of cesarean section, 1 patient had a history of tubal ligation, 4 patients had an intrauterine device, and 22 patients had hydrosalpinx. Sixteen patients (53.33%) conceived naturally and gave birth to healthy babies. Pathology showed that only 2 patients had TEM without any other gynecological diseases, while the others all had simultaneous diseases, including 26 patients with EM at other pelvic sites. CONCLUSION The final diagnosis of TEM depends on pathological examination since there are no specific clinical characteristics. The rate of TEM combined with EM (especially OEM) was higher than that of other gynecological diseases, which indicates that TEM is related to OEM.

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Section: Discussionsupporting

confidence: 54%

Diagnosis and treatment of tubal endometriosis in women undergoing laparoscopy: A case series from a single hospital

Jiao¹,

Song²,

Feng³

et al. 2022

World J Clin Cases

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“…A total of 13 studies were finally considered eligible for inclusion [ 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 ]. Among them, four were observational, which included a total of 633 patients and mainly focused on the prevalence of tubal EM among patients with various gynecological diseases, as well as on disease-related characteristics and histopathology [ 16 , 17 , 18 , 19 ], while two studies focused on analyzing the genetic profile of patients with tubal EM [ 20 , 21 ]. The remaining seven studies were case reports [ 22 , 23 , 24 , 25 , 26 , 27 , 28 ].…”

Section: Resultsmentioning

confidence: 99%

“…The prevalence of tubal EM was highest in the EM group. McGuinness et al assessed the incidence of tubal EM among women who underwent operative laparoscopy due to EM, pelvic pain, infertility or adnexal cystic masses [ 19 ]. Ninety-seven patients underwent salpingectomy, whereas in 88 others, the macroscopic recognition of fallopian tube endometriotic lesions were ablated with CO 2 laser, or electrosurgery (non-salpingectomy group).…”

Section: Resultsmentioning

confidence: 99%

“…Ninety-seven patients underwent salpingectomy, whereas in 88 others, the macroscopic recognition of fallopian tube endometriotic lesions were ablated with CO 2 laser, or electrosurgery (non-salpingectomy group). Tubal EM was detected in 35% ( n = 34/97) and in 9% ( n = 8/88) in the salpingectomy and non-salpingectomy groups, respectively, while the respective proportions in the subgroup of 153 patients with EM, was 42.5% for histologically proved tubal EM, and 11–12% for macroscopic tubal disease [ 19 ].…”

Section: Resultsmentioning

confidence: 99%

“…According to McGuinness et al, tubal EM was significantly related to severe disease when compared to mild or moderate ( p = 0.0196) [ 19 ]. The same was also observed in the study by Qi et al, who reported an increment in tubal EM prevalence as the severity of pelvic EM increased (r = 0.26, p < 10 −4 ) [ 17 ].…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Tubal Endometriosis: From Bench to Bedside, A Scoping Review

Prodromidou

Kathopoulis

Zacharakis

et al. 2022

JPM

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Tubal endometriosis (EM) refers to the detection of ectopic endometrial implants on tubes. It may cause a significant defect of the tubes, translating into dysmenorrhea, pelvic pain, and infertility. We aimed to evaluate the disease characteristics, prevalence, histopathological findings and genetic profile of patients with tubal EM. A thorough search of three electronic databases was performed for studies that presented outcomes of patients with tubal EM. Thirteen studies (four observational, seven case reports, two genetic) were considered eligible for inclusion. The prevalence of tubal EM ranged from 6.9% to 69%. The predominant symptoms for referral of patients were infertility and abdominal pain. Women of reproductive age underwent salpingectomy for the management of the disease. Only one case of malignant transformation was recorded in a 60-year-old patient. The prevalence of tubal EM ranges depending on the indication for surgery, the presence of concomitant pelvic EM and the type of diagnosis and treatment. Further, more extensive, larger studies are warranted to evaluate the impact of tubal EM in the progression and prognosis of EM, the effect of salpingectomy in the improvement of disease-related symptoms and to designate the group of patients that could benefit from risk-reducing salpingectomy based on the risk of developing ovarian malignancy.

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