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Ovarian endometrioma in the adolescent: a plea for early-stage diagnosis and full surgical treatment

The incidence and severity of endometriosis in adolescent are comparable with the incidence in adult women. The mean delay between the onset of symptoms and the final diagnosis varies between 6.4 and 11.7 years. The longer the diagnosis is delayed, the more the endometriosis can progress to a more s...

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Autores principales: Gordts, Stephan, Puttemans, Patrick, Gordts, Sylvie, Brosens, Ivo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4349957/
https://www.ncbi.nlm.nih.gov/pubmed/25774119
http://dx.doi.org/10.1007/s10397-014-0877-x
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author Gordts, Stephan
Puttemans, Patrick
Gordts, Sylvie
Brosens, Ivo
author_facet Gordts, Stephan
Puttemans, Patrick
Gordts, Sylvie
Brosens, Ivo
author_sort Gordts, Stephan
collection PubMed
description The incidence and severity of endometriosis in adolescent are comparable with the incidence in adult women. The mean delay between the onset of symptoms and the final diagnosis varies between 6.4 and 11.7 years. The longer the diagnosis is delayed, the more the endometriosis can progress to a more severe stage certainly in the group of patients with pelvic pain. The evolution of endometriosis and its progressivity are not predictable, and the severity of the disease is not directly related to the degree of pain. Endometriotic cysts have a detrimental effect on the ovarian reserve by the evolution in time and the surgical excision technique. Already, in small endometriotic cysts (<4 cm), loss of follicular reserve is present together with the formation of fibrosis in the cortex of the ovary. Early diagnosis of endometriosis in the adolescent deserves our full attention. Non-invasive imaging techniques like 2-D and 3-D ultrasound are helpful in the early diagnosis. Early ablative surgery is recommendable. Although laparoscopy is traditionally recommended, transvaginal laparoscopy has been shown to be most effective in ablating endometriomas with a maximum diameter of 3 cm. Early detection and intervention will contribute to a better quality of life in these adolescents and also to a lower damage of the ovarian tissue by a less invasive ablative surgery.
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spelling pubmed-43499572015-03-11 Ovarian endometrioma in the adolescent: a plea for early-stage diagnosis and full surgical treatment Gordts, Stephan Puttemans, Patrick Gordts, Sylvie Brosens, Ivo Gynecol Surg Opinion The incidence and severity of endometriosis in adolescent are comparable with the incidence in adult women. The mean delay between the onset of symptoms and the final diagnosis varies between 6.4 and 11.7 years. The longer the diagnosis is delayed, the more the endometriosis can progress to a more severe stage certainly in the group of patients with pelvic pain. The evolution of endometriosis and its progressivity are not predictable, and the severity of the disease is not directly related to the degree of pain. Endometriotic cysts have a detrimental effect on the ovarian reserve by the evolution in time and the surgical excision technique. Already, in small endometriotic cysts (<4 cm), loss of follicular reserve is present together with the formation of fibrosis in the cortex of the ovary. Early diagnosis of endometriosis in the adolescent deserves our full attention. Non-invasive imaging techniques like 2-D and 3-D ultrasound are helpful in the early diagnosis. Early ablative surgery is recommendable. Although laparoscopy is traditionally recommended, transvaginal laparoscopy has been shown to be most effective in ablating endometriomas with a maximum diameter of 3 cm. Early detection and intervention will contribute to a better quality of life in these adolescents and also to a lower damage of the ovarian tissue by a less invasive ablative surgery. Springer Berlin Heidelberg 2015-01-13 2015 /pmc/articles/PMC4349957/ /pubmed/25774119 http://dx.doi.org/10.1007/s10397-014-0877-x Text en © The Author(s) 2015 https://creativecommons.org/licenses/by/4.0/ Open Access This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Opinion
Gordts, Stephan
Puttemans, Patrick
Gordts, Sylvie
Brosens, Ivo
Ovarian endometrioma in the adolescent: a plea for early-stage diagnosis and full surgical treatment
title Ovarian endometrioma in the adolescent: a plea for early-stage diagnosis and full surgical treatment
title_full Ovarian endometrioma in the adolescent: a plea for early-stage diagnosis and full surgical treatment
title_fullStr Ovarian endometrioma in the adolescent: a plea for early-stage diagnosis and full surgical treatment
title_full_unstemmed Ovarian endometrioma in the adolescent: a plea for early-stage diagnosis and full surgical treatment
title_short Ovarian endometrioma in the adolescent: a plea for early-stage diagnosis and full surgical treatment
title_sort ovarian endometrioma in the adolescent: a plea for early-stage diagnosis and full surgical treatment
topic Opinion
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4349957/
https://www.ncbi.nlm.nih.gov/pubmed/25774119
http://dx.doi.org/10.1007/s10397-014-0877-x
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