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CC BY-NC-ND 4.0 · J Lab Physicians 2020; 12(03): 184-190
DOI: 10.1055/s-0040-1720946
Original Article

Endometriosis: A Clinicopathological Study in a Tertiary Care Hospital

Shubha P. Bhat
1   Department of Pathology, K.S Hegde Medical Academy, Nitte-Deemed to be University, Mangalore, Karnataka, India
,
Sajitha Kaliyat
1   Department of Pathology, K.S Hegde Medical Academy, Nitte-Deemed to be University, Mangalore, Karnataka, India
,
Kishan Prasad Hosapatna Laxminarayana
1   Department of Pathology, K.S Hegde Medical Academy, Nitte-Deemed to be University, Mangalore, Karnataka, India
,
Teerthanath Srinivas
1   Department of Pathology, K.S Hegde Medical Academy, Nitte-Deemed to be University, Mangalore, Karnataka, India
,
Krishna Prasad Holalkere Venugopala
1   Department of Pathology, K.S Hegde Medical Academy, Nitte-Deemed to be University, Mangalore, Karnataka, India
,
Jayaprakash Kubalady Shetty
1   Department of Pathology, K.S Hegde Medical Academy, Nitte-Deemed to be University, Mangalore, Karnataka, India
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Abstract

Background Endometriosis (EM) is an estrogen-dependent disease characterized by the presence of endometrial gland and stroma outside the uterus. It is commonly seen in the reproductive age group and is a leading cause of infertility. Patients present with chronic pelvic pain, menstrual abnormalities, dyspareunia, or mass per abdomen. Surgical excision is the treatment of choice with postoperative medications and progesterone agents.

Aims and Objectives This study aims at determining the distribution of EM in terms of age, parity, symptoms, site, morphological features. We also analyzed the management of EM in these cases.

Methodology This is a retrospective study done in a tertiary care hospital in Mangalore, India. The case records of 77 histopathologically confirmed cases of EM during the 7 years between June 2012 and May 2019 were studied. Demographic profiles, parity, presenting complaints, site of the lesion, morphological features, treatment given, follow-up, and recurrence were noted and analyzed.

Results Of the 77 patients with EM, the most common age group was the fourth decade (40%). The majority (31, 40.25%) of the patients in this study were nulliparous. Chronic pelvic pain was the most common symptom. The most frequent site was ovary.

Conclusion The most frequent site of EM is ovary, leading to infertility. With the advent of laparoscopy, early diagnosis and excision have been feasible. The histopathological examination should be done for confirmation. Awareness of this disease among health care professionals is necessary whenever a woman in reproductive age presents with chronic pelvic pain and infertility.

Keywords

endometriosis - site - diagnosis - treatment


Publication History

Article published online:
23 November 2020

© 2020. The Indian Association of Laboratory Physicians. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

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