[Diagnostic methods in endometriosis]

Area of Science:

• Gynecology
• Surgical Pathology

Background:

• The preoperative diagnosis of endometriosis presents significant challenges, with reported accuracy rates varying widely from 4% to 83%.
• Endometriosis is a condition affecting women of reproductive age, necessitating accurate diagnostic methods for timely intervention.

Purpose of the Study:

• To evaluate the diagnostic accuracy of common methods used for preoperative endometriosis detection.
• To analyze the effectiveness of abrasio probatoria, ultrasound, and hysterosalpingography in diagnosing endometriosis.

Main Methods:

• The study included 100 women aged 27-61 with histologically confirmed endometriosis.
• Diagnostic methods assessed included abrasio probatoria (17 women), ultrasound (24 women), and hysterosalpingography (3 women) prior to surgical intervention.

Main Results:

• Histological results from abrasio probatoria were not indicative of endometriosis.
• Ultrasound examinations failed to diagnose endometriosis in all 24 evaluated patients.
• Hysterosalpingography also did not correctly diagnose endometriosis in the 3 women it was performed on.

Conclusions:

• Current diagnostic methods, including abrasio probatoria, ultrasound, and hysterosalpingography, demonstrate low specificity for preoperative endometriosis diagnosis.
• The findings support the view that these methods are not sufficiently reliable for definitive endometriosis detection before surgery.