C.L. Vladu, A. Boiangiu, E. Brătilă, R. Vlădăreanu
Rezumat: Endometriosis is a chronic estrogen-dependent disease with
inflammatory potential, characterized by the presence of
ectopic endometrial tissue outside the uterus, with polymorphic
and multifocal characteristics. In the same patient,
there may be present several types of endometriotic lesions
– from superficial endometriosis to endometriomas and
deep infiltrative endometriosis. We can even say that it is a
fibrotic
condition in which the stroma and the endometrial
epithelium
are identified. Materials and method. We
conducted
a retrospective study, between 2017 and 2021,
on a group of 126 patients, aged between 25 and 50 years
old, operated in the “Prof. Dr. Panait Sîrbu” Clinical Hospital
of Obstetrics and Gynecology, Bucharest, the Euroclinic
Hospital
– Private Health Network, and Monza Hospital,
Bucharest.
Results. We performed a comparative study of
the diagnosis of ultrasound endometriosis/MRI and intraoperative
endometriosis. According to information, the MRI
diagnosis
of endometriosis lesions is clearly superior, having
a higher accuracy compared to the ultrasound diagnosis.
Conclusions. There is no imaging method that can be used
individually
and be effective enough to identify the location
and extent of endometriosis. The performance of these
imaging
procedures should be considered depending on the
type of suspected endometriosis, the proposed therapeutic
strategy,
and the information to be provided to the patient.
Transvaginal
ultrasound is a repeatable, costless procedure
that can be used to diagnose certain types and locations
of endometriosis. The role of transvaginal ultrasound is to
guide the type of subsequent complementary investigations
depending on the location of the lesions, when suspected. Cuvinte cheie: deep endometriosis, transvaginal ultrasound, magnetic resonance imaging (MRI).