Diagnosis and treatment of perineal endometriosis: review of 17 cases
Purpose To demonstrate the appropriate diagnosis and treatment of perineal endometriosis. Methods Seventeen patients who presented with a tender perineal mass coinciding with the menstrual cycle on the scar of a previous vaginally procedure were examined retrospectively. Their clinical features and...
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| Veröffentlicht in: | Archives of gynecology and obstetrics 2015-12, Vol.292 (6), p.1295-1299 |
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| container_title | Archives of gynecology and obstetrics |
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| creator | Li, Juanqing Shi, Yifu Zhou, Caiyun Lin, Jun |
| description | Purpose
To demonstrate the appropriate diagnosis and treatment of perineal endometriosis.
Methods
Seventeen patients who presented with a tender perineal mass coinciding with the menstrual cycle on the scar of a previous vaginally procedure were examined retrospectively. Their clinical features and treatment were analyzed.
Results
All patients presented with a palpable painful lesion. All of them had had vaginal delivery with episiotomy. The mean age of the patients was 34.35 years. The mean latent period was 46.82 months. The mean size was 2.38 cm. Thirteen patients presented with one subcutaneous nodule and four had multiple nodules. Color Doppler ultrasound revealed a subcutaneous nodule with an irregular outline and echo-complex density underlying the episiotomy scar. Only one patient suffered from perineal endometriosis combined with pelvic endometriosis. All endometriotic masses in perineum were completely excised and cured, and confirmed by the microscopic examination.
Conclusions
A detailed history and thorough pelvic examination are essential in diagnosing perineal endometriosis. Surgical intervention is the first choice of treatment. |
| doi_str_mv | 10.1007/s00404-015-3756-4 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1722925153</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1722925153</sourcerecordid><originalsourceid>FETCH-LOGICAL-c442t-3571a34387e6301f572decba8f3a75da790ecf53ddb89711999e08a70f8161223</originalsourceid><addsrcrecordid>eNp1kMtKxDAUhoMozjj6AG6k4MZN9ZxcmtadjOMFBtzoOmTa06HDtB2TVvHtTakXEFydwPn-P8nH2CnCJQLoKw8gQcaAKhZaJbHcY1OUgsegEffZFLLhDImesCPvNwDI0zQ5ZBOegETBxZQtbiu7blpf-cg2RdQ5sl1NTRe1ZbQjVzVktxE1RVtT56qBu44cvVX0PhCoo9x68sfsoLRbTydfc8Ze7hbP84d4-XT_OL9ZxrmUvIuF0miFFKmmRACWSvOC8pVNS2G1KqzOgPJSiaJYpVn4QpZlBKnVUKaYIOdixi7G3p1rX3vynakrn9N2axtqe29Qc55xhUoE9PwPuml714TXGc4TVBwFQKBwpHLXeu-oNDtX1dZ9GAQzODajYxMcm8GxkSFz9tXcr2oqfhLfUgPAR8CHVbMm93v1_62fYyWERw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2261521300</pqid></control><display><type>article</type><title>Diagnosis and treatment of perineal endometriosis: review of 17 cases</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Li, Juanqing ; Shi, Yifu ; Zhou, Caiyun ; Lin, Jun</creator><creatorcontrib>Li, Juanqing ; Shi, Yifu ; Zhou, Caiyun ; Lin, Jun</creatorcontrib><description>Purpose
To demonstrate the appropriate diagnosis and treatment of perineal endometriosis.
Methods
Seventeen patients who presented with a tender perineal mass coinciding with the menstrual cycle on the scar of a previous vaginally procedure were examined retrospectively. Their clinical features and treatment were analyzed.
Results
All patients presented with a palpable painful lesion. All of them had had vaginal delivery with episiotomy. The mean age of the patients was 34.35 years. The mean latent period was 46.82 months. The mean size was 2.38 cm. Thirteen patients presented with one subcutaneous nodule and four had multiple nodules. Color Doppler ultrasound revealed a subcutaneous nodule with an irregular outline and echo-complex density underlying the episiotomy scar. Only one patient suffered from perineal endometriosis combined with pelvic endometriosis. All endometriotic masses in perineum were completely excised and cured, and confirmed by the microscopic examination.
Conclusions
A detailed history and thorough pelvic examination are essential in diagnosing perineal endometriosis. Surgical intervention is the first choice of treatment.</description><identifier>ISSN: 0932-0067</identifier><identifier>EISSN: 1432-0711</identifier><identifier>DOI: 10.1007/s00404-015-3756-4</identifier><identifier>PMID: 26041323</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Cicatrix - pathology ; Endocrinology ; Endometriosis ; Endometriosis - diagnosis ; Endometriosis - drug therapy ; Endometriosis - surgery ; Episiotomy - adverse effects ; Female ; General Gynecology ; Gynecology ; Human Genetics ; Humans ; Incidence ; Medical diagnosis ; Medicine ; Medicine & Public Health ; Menstrual Cycle ; Obstetrics/Perinatology/Midwifery ; Pain - etiology ; Perineum - diagnostic imaging ; Perineum - surgery ; Pregnancy ; Retrospective Studies ; Treatment Outcome ; Ultrasonography, Doppler, Color ; Vagina - diagnostic imaging ; Vagina - surgery</subject><ispartof>Archives of gynecology and obstetrics, 2015-12, Vol.292 (6), p.1295-1299</ispartof><rights>Springer-Verlag Berlin Heidelberg 2015</rights><rights>Archives of Gynecology and Obstetrics is a copyright of Springer, (2015). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-3571a34387e6301f572decba8f3a75da790ecf53ddb89711999e08a70f8161223</citedby><cites>FETCH-LOGICAL-c442t-3571a34387e6301f572decba8f3a75da790ecf53ddb89711999e08a70f8161223</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00404-015-3756-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00404-015-3756-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26041323$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Juanqing</creatorcontrib><creatorcontrib>Shi, Yifu</creatorcontrib><creatorcontrib>Zhou, Caiyun</creatorcontrib><creatorcontrib>Lin, Jun</creatorcontrib><title>Diagnosis and treatment of perineal endometriosis: review of 17 cases</title><title>Archives of gynecology and obstetrics</title><addtitle>Arch Gynecol Obstet</addtitle><addtitle>Arch Gynecol Obstet</addtitle><description>Purpose
To demonstrate the appropriate diagnosis and treatment of perineal endometriosis.
Methods
Seventeen patients who presented with a tender perineal mass coinciding with the menstrual cycle on the scar of a previous vaginally procedure were examined retrospectively. Their clinical features and treatment were analyzed.
Results
All patients presented with a palpable painful lesion. All of them had had vaginal delivery with episiotomy. The mean age of the patients was 34.35 years. The mean latent period was 46.82 months. The mean size was 2.38 cm. Thirteen patients presented with one subcutaneous nodule and four had multiple nodules. Color Doppler ultrasound revealed a subcutaneous nodule with an irregular outline and echo-complex density underlying the episiotomy scar. Only one patient suffered from perineal endometriosis combined with pelvic endometriosis. All endometriotic masses in perineum were completely excised and cured, and confirmed by the microscopic examination.
Conclusions
A detailed history and thorough pelvic examination are essential in diagnosing perineal endometriosis. Surgical intervention is the first choice of treatment.</description><subject>Adult</subject><subject>Cicatrix - pathology</subject><subject>Endocrinology</subject><subject>Endometriosis</subject><subject>Endometriosis - diagnosis</subject><subject>Endometriosis - drug therapy</subject><subject>Endometriosis - surgery</subject><subject>Episiotomy - adverse effects</subject><subject>Female</subject><subject>General Gynecology</subject><subject>Gynecology</subject><subject>Human Genetics</subject><subject>Humans</subject><subject>Incidence</subject><subject>Medical diagnosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Menstrual Cycle</subject><subject>Obstetrics/Perinatology/Midwifery</subject><subject>Pain - etiology</subject><subject>Perineum - diagnostic imaging</subject><subject>Perineum - surgery</subject><subject>Pregnancy</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><subject>Ultrasonography, Doppler, Color</subject><subject>Vagina - diagnostic imaging</subject><subject>Vagina - surgery</subject><issn>0932-0067</issn><issn>1432-0711</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kMtKxDAUhoMozjj6AG6k4MZN9ZxcmtadjOMFBtzoOmTa06HDtB2TVvHtTakXEFydwPn-P8nH2CnCJQLoKw8gQcaAKhZaJbHcY1OUgsegEffZFLLhDImesCPvNwDI0zQ5ZBOegETBxZQtbiu7blpf-cg2RdQ5sl1NTRe1ZbQjVzVktxE1RVtT56qBu44cvVX0PhCoo9x68sfsoLRbTydfc8Ze7hbP84d4-XT_OL9ZxrmUvIuF0miFFKmmRACWSvOC8pVNS2G1KqzOgPJSiaJYpVn4QpZlBKnVUKaYIOdixi7G3p1rX3vynakrn9N2axtqe29Qc55xhUoE9PwPuml714TXGc4TVBwFQKBwpHLXeu-oNDtX1dZ9GAQzODajYxMcm8GxkSFz9tXcr2oqfhLfUgPAR8CHVbMm93v1_62fYyWERw</recordid><startdate>20151201</startdate><enddate>20151201</enddate><creator>Li, Juanqing</creator><creator>Shi, Yifu</creator><creator>Zhou, Caiyun</creator><creator>Lin, Jun</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20151201</creationdate><title>Diagnosis and treatment of perineal endometriosis: review of 17 cases</title><author>Li, Juanqing ; Shi, Yifu ; Zhou, Caiyun ; Lin, Jun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-3571a34387e6301f572decba8f3a75da790ecf53ddb89711999e08a70f8161223</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Cicatrix - pathology</topic><topic>Endocrinology</topic><topic>Endometriosis</topic><topic>Endometriosis - diagnosis</topic><topic>Endometriosis - drug therapy</topic><topic>Endometriosis - surgery</topic><topic>Episiotomy - adverse effects</topic><topic>Female</topic><topic>General Gynecology</topic><topic>Gynecology</topic><topic>Human Genetics</topic><topic>Humans</topic><topic>Incidence</topic><topic>Medical diagnosis</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Menstrual Cycle</topic><topic>Obstetrics/Perinatology/Midwifery</topic><topic>Pain - etiology</topic><topic>Perineum - diagnostic imaging</topic><topic>Perineum - surgery</topic><topic>Pregnancy</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><topic>Ultrasonography, Doppler, Color</topic><topic>Vagina - diagnostic imaging</topic><topic>Vagina - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Juanqing</creatorcontrib><creatorcontrib>Shi, Yifu</creatorcontrib><creatorcontrib>Zhou, Caiyun</creatorcontrib><creatorcontrib>Lin, Jun</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Juanqing</au><au>Shi, Yifu</au><au>Zhou, Caiyun</au><au>Lin, Jun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnosis and treatment of perineal endometriosis: review of 17 cases</atitle><jtitle>Archives of gynecology and obstetrics</jtitle><stitle>Arch Gynecol Obstet</stitle><addtitle>Arch Gynecol Obstet</addtitle><date>2015-12-01</date><risdate>2015</risdate><volume>292</volume><issue>6</issue><spage>1295</spage><epage>1299</epage><pages>1295-1299</pages><issn>0932-0067</issn><eissn>1432-0711</eissn><abstract>Purpose
To demonstrate the appropriate diagnosis and treatment of perineal endometriosis.
Methods
Seventeen patients who presented with a tender perineal mass coinciding with the menstrual cycle on the scar of a previous vaginally procedure were examined retrospectively. Their clinical features and treatment were analyzed.
Results
All patients presented with a palpable painful lesion. All of them had had vaginal delivery with episiotomy. The mean age of the patients was 34.35 years. The mean latent period was 46.82 months. The mean size was 2.38 cm. Thirteen patients presented with one subcutaneous nodule and four had multiple nodules. Color Doppler ultrasound revealed a subcutaneous nodule with an irregular outline and echo-complex density underlying the episiotomy scar. Only one patient suffered from perineal endometriosis combined with pelvic endometriosis. All endometriotic masses in perineum were completely excised and cured, and confirmed by the microscopic examination.
Conclusions
A detailed history and thorough pelvic examination are essential in diagnosing perineal endometriosis. Surgical intervention is the first choice of treatment.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>26041323</pmid><doi>10.1007/s00404-015-3756-4</doi><tpages>5</tpages></addata></record> |
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| ispartof | Archives of gynecology and obstetrics, 2015-12, Vol.292 (6), p.1295-1299 |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adult Cicatrix - pathology Endocrinology Endometriosis Endometriosis - diagnosis Endometriosis - drug therapy Endometriosis - surgery Episiotomy - adverse effects Female General Gynecology Gynecology Human Genetics Humans Incidence Medical diagnosis Medicine Medicine & Public Health Menstrual Cycle Obstetrics/Perinatology/Midwifery Pain - etiology Perineum - diagnostic imaging Perineum - surgery Pregnancy Retrospective Studies Treatment Outcome Ultrasonography, Doppler, Color Vagina - diagnostic imaging Vagina - surgery |
| title | Diagnosis and treatment of perineal endometriosis: review of 17 cases |
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