From the archives of the AFIP. Endometriosis: Radiologic-pathologic correlation

Paula J. Woodward, Roya Sohaey, Thomas P. Mezzetti

Research output: Contribution to journalArticle

259 Citations (Scopus)

Abstract

Endometriosis is an important gynecologic disorder primarily affecting women during their reproductive years. Pathologically, it is the result of functional endometrium located outside the uterus. It may vary from microscopic endometriotic implants to large cysts (endometriomas). The physical manifestations are protean, with some patients being asymptomatic and others having disabling pelvic pain, infertility, or adnexal masses. Symptoms do not necessarily correlate with the severity of the disease. Ultrasonographic (US) features are variable and can mimic those of other benign and malignant ovarian lesions. Low-level internal echoes and echogenic wall foci are more specific US features for endometriomas. Magnetic resonance imaging improves diagnostic accuracy, with endometriotic cysts typically appearing with high signal intensity on T1-weighted images and demonstrating "shading" on T2-weighted images. The ovaries are the most common sites affected, but endometriosis can also involve the gastrointestinal tract, urinary tract, chest, and soft tissues. Small implants and adhesions are not well evaluated radiologically; therefore, laparoscopy remains the standard of reference for diagnosis and staging. Both medical and surgical treatment options are available depending on the patient's specific case.

Original languageEnglish (US)
Pages (from-to)193-216
Number of pages24
JournalRadiographics
Volume21
Issue number1
StatePublished - Jan 2001

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Endometriosis
Cysts
Pelvic Pain
Endometrium
Urinary Tract
Laparoscopy
Infertility
Uterus
Gastrointestinal Tract
Ovary
Thorax
Magnetic Resonance Imaging
Therapeutics

Keywords

  • Endometriosis, 70.318, 80.3192

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

From the archives of the AFIP. Endometriosis : Radiologic-pathologic correlation. / Woodward, Paula J.; Sohaey, Roya; Mezzetti, Thomas P.

In: Radiographics, Vol. 21, No. 1, 01.2001, p. 193-216.

Research output: Contribution to journalArticle

Woodward, Paula J. ; Sohaey, Roya ; Mezzetti, Thomas P. / From the archives of the AFIP. Endometriosis : Radiologic-pathologic correlation. In: Radiographics. 2001 ; Vol. 21, No. 1. pp. 193-216.
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