Diagnosis and Prognosis of Endometriosis
A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Pathology and Molecular Diagnostics".
Deadline for manuscript submissions: 31 December 2024 | Viewed by 709
Special Issue Editor
Interests: gynecology; endometriosis; fibroids; laparoscopy; hormonal therapy; hysteroscopy; ultrasonography; gynecological surgery; minimally invasive surgery; infertility
Special Issues, Collections and Topics in MDPI journals
Special Issue Information
Dear Colleagues,
Endometriosis affects approximately 10% of women of reproductive age worldwide, with a significant impact on the quality of life and fertility. The accurate diagnosis of endometriosis is crucial for effective management, while its recurrence poses a considerable clinical dilemma. Various factors contribute to the complexity of its diagnosis and recurrence, including the heterogeneous presentation of symptoms, lack of specific biomarkers, and the multifaceted nature of its pathogenesis. The diagnosis of endometriosis typically involves a combination of clinical evaluations, imaging studies, and invasive procedures, such as a laparoscopy with histological confirmation. Clinical manifestations, such as chronic pelvic pain, dysmenorrhea, dyspareunia, and infertility, often raise suspicion for endometriosis. Transvaginal ultrasound and magnetic resonance imaging have emerged as valuable, non-invasive imaging modalities for detecting endometriotic lesions, particularly in deep pelvic locations. However, their sensitivity and specificity vary depending on lesion size and location. Laparoscopy remains the gold standard for obtaining a definitive diagnosis, allowing for a direct visualization and biopsy of endometriotic lesions. The recurrence of endometriosis following a surgical or medical intervention remains a significant clinical challenge. Several factors contribute to disease recurrence, including an incomplete surgical excision of lesions, residual microscopic disease, hormonal fluctuations, genetic predisposition, and environmental factors. Additionally, the presence of comorbidities, such as adenomyosis and pelvic inflammatory disease, may exacerbate the risk of recurrence.
Dr. Simone Ferrero
Guest Editor
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Keywords
- endometriosis
- diagnosis
- ultrasonography
- recurrence
- prognosis
- symptoms
- laparoscopy
- biomarkers
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