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Related Concept Videos

Oogenesis02:07

Oogenesis

In human women, oogenesis produces one mature egg cell or ovum for every precursor cell that enters meiosis. This process differs in two unique ways from the equivalent procedure of spermatogenesis in males. First, meiotic divisions during oogenesis are asymmetric, meaning that a large oocyte (containing most of the cytoplasm) and minor polar body are produced as a result of meiosis I, and again following meiosis II. Since only oocytes will go on to form embryos if fertilized, this unequal...

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Related Experiment Video

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Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity
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Extra-pelvic endometriosis: A review.

Tetsuya Hirata1,2, Kaori Koga2, Yutaka Osuga2

  • 1Department of Obstetrics and Gynecology Doai Kinen Hospital Sumida-ku Japan.

Reproductive Medicine and Biology
|October 19, 2020
PubMed
Summary

Extra-pelvic endometriosis, including abdominal wall endometriosis (AWE) and thoracic endometriosis (TE), presents diagnostic challenges. Surgical treatment is effective for AWE, while TE requires a combination of surgery and hormonal therapy.

Keywords:
abdominal wall endometriosiscatamenial hemoptysiscatamenial pneumothoraxextra‐pelvic endometriosistreatment

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Area of Science:

  • Gynecology
  • Surgical Pathology

Background:

  • Extra-pelvic endometriosis is rare, occurring outside gynecological organs.
  • Diagnosis is challenging, often leading to delayed treatment.
  • This review focuses on abdominal wall endometriosis (AWE) and thoracic endometriosis (TE).

Purpose of the Study:

  • To characterize abdominal wall endometriosis (AWE) and thoracic endometriosis (TE).

Main Methods:

  • Literature search conducted to review AWE and TE.
  • Overview of major types of extra-pelvic endometriosis provided.

Main Results:

  • AWE includes scar and spontaneous types, often in the umbilicus or groin; surgery is effective.
  • Catamenial pneumothorax/endometriosis-related pneumothorax (CP/ERP) diagnosis and treatment are challenging, requiring surgery and hormonal therapy.
  • Catamenial hemoptysis (CH) is manageable with hormonal treatment.

Conclusions:

  • Diagnosis and treatment strategies for extra-pelvic endometriosis are underdeveloped due to low prevalence and limited research.
  • Multidisciplinary collaboration and a dedicated registry are recommended for better understanding and management.