Ce este endometrioza?

Categoria I: Endometrioză peritoneală;

Cea mai superficială formă de endometrioză în care peritoneul, este infiltrat cu leziuni endometriozice.

Categoria II: Endometrioame ovariene (chisturi de ciocolată);

Endometrioza care este deja stabilită în ovare. Aceste forme de chisturi ovariene necesită o atenție medicală din cauza riscului lor de torsionare și rupere.

Categoria III: Endometrioză I cu infiltrare profundă (DIE I);

Prima formă de endometrioză profund infiltrativa implică organe în cavitatea pelvină și poate afecta ovarele, rectul, uterul și poate duce chiar la cazuri severe precum „pelvisul înghețat”.

Categoria IV: Endometrioză II cu infiltrare profundă;

Endometrioza profund infiltrativă afectează organe din pelvis cât și din afara acestuia. Aceste organe pot fi intestinele, apendicele, diafragmul, inima, plămânii și chiar creierul. Există, de asemenea, și un sistem de clasificare european numit Enzian, care clasifică boală în funcție de localizarea anatomică (26). 

Referinte 
  1.  Endopeadia- Introducing endometriosis, endometriosis origin-info;
  2. Sergo Kasvandik et al., Deep Quantitative Proteomics Reveals Extensive Metabolic Reprogramming and Cancer-Like Changes of Ectopic Endometriotic Stromal Cells, Journal of Proteome Research 2016 15 (2), 572-584, DOI: 10.1021/acs.jproteome.5b00965;
  3. Kitawaki J, et al., Detection of Aromatase Cytochrome P-450 in Endometrial Biopsy Specimens as a Diagnostic Test for Endometriosis, Fertil Steril. 1999;72(6):1100‐1106;
  4. Signorile PG, et al. Embryologic Origin of Endometriosis: Analysis of 101 Human Female Fetuses. J Cell Physiol. 2012;227(4):1653–1656. doi:10.1002/jcp.22888;
  5. Schuster M, et al., Fetal Endometriosis: A Case Report, Fertil Steril. 2015;103(1):160–162. doi:10.1016/j.fertnstert.2014.09.045;
  6. Haas D, et al., Endometriosis: A Premenopausal Disease? Age Pattern in 42,079 Patients With Endometriosis, Arch Gynecol Obstet. 2012;286(3):667–670. doi:10.1007/s00404-012-2361-z;
  7. Jabr FI, et al., An unusual cause of abdominal pain in a male patient: Endometriosis, Avicenna J Med. 2014;4(4):99–101. doi:10.4103/2231-0770.140660;
  8. Pinkert TC, et al., Endometriosis of the Urinary Bladder in a Man With Prostatic Carcinoma, Cancer. 1979;43(4):1562–1567. doi:10.1002/1097-0142(197904)43:4<1562::aid-cncr2820430451>3.0.co;2-w;
  9. Schrodt GR, et al., Endometriosis of the Male Urinary System: A Case Report,  J Urol. 1980;124(5):722–723. doi:10.1016/s0022-5347(17)55627-x;
  10. Fukunaga M. et al., Paratesticular Endometriosis in a Man With a Prolonged Hormonal Therapy for Prostatic Carcinoma, Pathol Res Pract. 2012;208(1):59–61. doi:10.1016/j.prp.2011.10.007;
  11. Alfonso Baldi, et al., Histological and Immunohistochemical Characterization of a Case of Endometriosis in a Guinea Pig (Cavia tschudii), Case reports in Veterinary Medicine, Volume 2017 |Article ID 4594510 | 4 pages;
  12. C. Bartel, et al., Pseudo-placentational Endometrial Cysts in a Bitch, Journal of Veterinary Medicine Series C: Anatomia Histologia Embryologia, vol. 39, no. 1, pp. 74–80, 2010;
  13. B. T. Assaf and A. D. Miller, Pleural Endometriosis in an Aged Rhesus Macaque (Macaca Mulatta): A Histopathologic and Immunohistochemical Study, Veterinary Pathology, vol. 49, no. 4, pp. 636–641, 2012;
  14. D. Redwine-The distribution of endometriosis in the pelvis by age groups and fertility, Endopeadia;
  15. Camran Nezhat, What Is Endometriosis?nezhat.org;
  16. Bloski T, Pierson R. Endometriosis and Chronic Pelvic Pain: Unraveling the Mystery Behind this Complex Condition,Nurs Womens Health. 2008;12(5):382‐395. doi:10.1111/j.1751-486X.2008.00362.x;
  17. Denny E, Mann CH. Endometriosis-associated Dyspareunia: The Impact on Women’s Lives, J Fam Plann Reprod Health Care. 2007;33(3):189‐193. doi:10.1783/147118907781004831;
  18. Culley L, et al. The Social and Psychological Impact of Endometriosis on Women’s Lives: A Critical Narrative Review, Hum Reprod Update. 2013;19(6):625‐639. doi:10.1093/humupd/dmt027;
  19. Rush G, et al., Examining Subjective Wellbeing and Health-Related Quality of Life in Women With Endometriosis, Health Care Women Int. 2018;39(3):303‐321. doi:10.1080/07399332.2017.1397671;
  20. Rush G, The Relationship Between Endometriosis-Related Pelvic Pain and Symptom Frequency, and Subjective Wellbeing, Health Qual Life Outcomes. 2019;17(1):123. Published 2019 Jul 16. doi:10.1186/s12955-019-1185-y;
  21. Nezhat C, Silent Loss of Kidney Secondary to Ureteral Endometriosis,  JSLS. 2012;16(3):451–455. doi:10.4293/108680812X13462882736213;
  22. Jansen RP, Nonpigmented Endometriosis: Clinical, Laparoscopic, and Pathologic Definition, Am J Obstet Gynecol. 1986;155(6):1154–1159. doi:10.1016/0002-9378(86)90136-5;
  23. D. Redwine, Age related evolution in color appearance of endometriosis, Endopaedia;
  24. Revised American Society for Reproductive Medicine Classification of Endometriosis: 1996, Published by Elsevier Science Inc.Special contributionVol. 67, No.5, May 1997;
  25. Endometriosis Stages: Understanding the Different Stages of Endometriosis, Endofound.org;
  26.  Keckstein J,[ENZIAN-score, a Classification of Deep Infiltrating Endometriosis], Zentralbl Gynakol. 2005;127(5):275–281. doi:10.1055/s-2005-836904;