Anterior Focal Adenomyosis and Bladder Deep Infiltrating Endometriosis: Is There a Link?

被引:34
作者
Marcellin, Louis [1 ,2 ]
Santulli, Pietro [1 ,2 ]
Bortolato, Sara [1 ,3 ]
Morin, Cecile [1 ]
Millischer, Anne Elodie [4 ]
Borghese, Bruno [1 ,2 ]
Chapron, Charles [1 ,2 ]
机构
[1] Univ Paris 05, HUPC, AP HP, Sorbonne Paris Cite,Fac Med,CHU Cochin,Dept Gynae, Paris, France
[2] Univ Paris 05, Inst Cochin, Dept Dev Reprod & Canc, Sorbonne Paris Cite,INSERM U1016, Paris, France
[3] St Orsola Malpighi Hosp, Gynecol & Physiopathol Human Reprod Unit, Bologna, Italy
[4] Ctr Radiol IMPC Bachaumont Pole Femme Mere Enfant, F-75002 Paris, France
关键词
Adenomyosis; Anterior focal adenomyosis; Bladder deep endometriosis; Pathogenesis; DETRUSOR ENDOMETRIOSIS; UTERINE ADENOMYOSIS; SURGERY; PATHOGENESIS; MECHANISMS; DIAGNOSIS; SYMPTOMS; UTERUS; WOMEN;
D O I
10.1016/j.jmig.2018.02.002
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Study Objective: To evaluate the association between bladder deep infiltrating endometriosis (DIE) and anterior focal adenomyosis of the outer myometrium (aFAOM) diagnosed by preoperative magnetic resonance imaging (MRI). Design: An observational, cross-sectional study using prospectively collected data (Canadian Task Force classification II-2). Setting: Single university tertiary referral center. Patients: All nonpregnant women younger than 42 years who had undergone complete surgical exeresis of endometriotic lesions. For each patient a standardized questionnaire was completed during a face-to-face interview conducted by the surgeon during the month preceding the surgery. Only women with preoperative standardized uterine MRI were retained for this study. Interventions: Thirty-nine women with histologically proven bladder DIE and an available preoperative MRI were enrolled in the study. Patients were divided into 2 groups: women with aFAOM (aFAOM (+), n = 19) and women without aFAOM (aFAOM (-), n = 20). Both groups were compared for general characteristics, medical history, MRI findings, and disease severity. Measurements and Main Results: Nineteen patients (48.7%) with bladder DIE had aFAOM at preoperative MRI. The rate of associated diffuse adenomyosis was similar in the 2 groups (63.2% [n = 12] vs 73.7% [n = 14]; p = .48). The rate of an associated ovarian endometrioma (OMA) was significantly lower in the aFAOM (+) group (105% En = 2] vs 40.0% [n = 8]; p = .03). There were fewer associated intestinal DIE lesions in the aFAOM (+) group compared with the aFAOM (-) group (26.3% vs 75.0%; p = .02). with lower involvement of the pouch of Douglas (26.3% vs 70%; p < .01). Total American Society for Reproductive Medicine score was significantly lower in the aFAOM (+) group (13.8 +/- 12.2 vs 62.2 +/- 46.2; p < .01). Conclusion: aFAOM is present in only half of women with bladder DIE and appears to be associated with lower associated posterior DIE. (C) 2018 AAGL. All rights reserved.
引用
收藏
页码:896 / 901
页数:6
相关论文
共 29 条
  • [1] Deep endometriosis infiltrating the recto-sigmoid: critical factors to consider before management
    Abrao, Mauricio Simoes
    Petraglia, Felice
    Falcone, Tommaso
    Keckstein, Joerg
    Osuga, Yutaka
    Chapron, Charles
    [J]. HUMAN REPRODUCTION UPDATE, 2015, 21 (03) : 329 - 339
  • [2] THE NONSURGICAL DIAGNOSIS OF ADENOMYOSIS
    ARNOLD, LL
    ASCHER, SM
    SCHRUEFER, JJ
    SIMON, JA
    [J]. OBSTETRICS AND GYNECOLOGY, 1995, 86 (03) : 461 - 465
  • [3] ELUSIVE ADENOMYOSIS OF UTERUS - REVISITED
    BIRD, CC
    MCELIN, TW
    MANALOES.P
    [J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1972, 112 (05) : 583 - &
  • [4] MR imaging of bladder endometriosis and its relationship with the anterior uterine wall: Experience in a tertiary referral centre
    Busard, M. P. H.
    Mijatovic, V.
    Luchinger, A. B.
    Bleeker, M. C. G.
    Pieters-van den Bos, I. C.
    Schats, R.
    van Kuijk, C.
    Hompes, P. G. A.
    van Waesberghe, J. H. T. M.
    [J]. EUROPEAN JOURNAL OF RADIOLOGY, 2012, 81 (09) : 2106 - 2111
  • [5] Canis M, 1997, FERTIL STERIL, V67, P817
  • [6] Chapron C, 2006, HUM REPROD, V86, P1336
  • [7] Relationship between the magnetic resonance imaging appearance of adenomyosis and endometriosis phenotypes
    Chapron, Charles
    Tosti, Claudia
    Marcellin, Louis
    Bourdon, Mathilde
    Lafay-Pillet, Marie-Christine
    Millischer, Anne-Elodie
    Streuli, Isabelle
    Borghese, Bruno
    Petraglia, Felice
    Santulli, Pietro
    [J]. HUMAN REPRODUCTION, 2017, 32 (07) : 1393 - 1401
  • [8] Smoking habits of 411 women with histologically proven endometriosis and 567 unaffected women
    Chapron, Charles
    Souza, Carlos
    de Ziegler, Dominique
    Lafay-Pillet, Marie-Christine
    Ngo, Charlotte
    Bijaoui, Cerard
    Goffinet, Francois
    Borghese, Bruno
    [J]. FERTILITY AND STERILITY, 2010, 94 (06) : 2353 - 2355
  • [9] Surgery for bladder endometriosis: long-term results and concomitant management of associated posterior deep lesions
    Chapron, Charles
    Bourret, Antoine
    Chopin, Nicolas
    Dousset, Bertrand
    Leconte, Mahaut
    Amsellem-Ouazana, Delphine
    de Ziegler, Dominique
    Borghese, Bruno
    [J]. HUMAN REPRODUCTION, 2010, 25 (04) : 884 - 889
  • [10] Complete Surgery for Low Rectal Endometriosis Long-term Results of a 100-Case Prospective Study
    Dousset, Bertrand
    Leconte, Mahaut
    Borghese, Bruno
    Millischer, Anne-Elodie
    Roseau, Gilles
    Arkwright, Sylviane
    Chapron, Charles
    [J]. ANNALS OF SURGERY, 2010, 251 (05) : 887 - 895