Email this article Classifications of endometriosis
- Authors: Aylamazyan E.K1, Yarmolinskaya M.I1, Molotkov A.S1, Tsitskarava D.Z1
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Affiliations:
- FSBSI “The Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott”
- Issue: Vol 66, No 2 (2017)
- Pages: 77-92
- Section: Articles
- URL: https://bakhtiniada.ru/jowd/article/view/6359
- DOI: https://doi.org/10.17816/JOWD66277-92
- ID: 6359
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Abstract
In the article a review of the main classifications of endometriosis is presented. Main drawbacks of existing classifications have been revealed. A need for a new classification of the disease, which has to be empirical, evidence-based, containing terms that have unambiguous definitions, applicable for various clinical situations, taking into account new clinical forms and able to predict a course of the disease (including the development of pain syndrome and infertility), it’s outcomes and a risk of recurrence is stressed. The new classification of endometriosis has to be based on resolutions of a consensuses and applicable for new guidelines for diagnosis and treatment. For the new classification it is essential to be approachable and easy-to-use in routine clinical practice. It has to allow a physician to determine a stage the disease promptly and meaningfully. A new Protocol taking into account a combination of different forms of endometriosis (superficial, deep infiltrative, adenomyosis, endometriomas, extragenital), color of endometriotic lesions, special aspects of clinical course, results of hormonal examination, reproductive plans and prior hormonal therapy is proposed.
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##article.viewOnOriginalSite##About the authors
Edvard K Aylamazyan
FSBSI “The Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott”
Author for correspondence.
Email: iagmail@ott.ru
chief, academician, professor
Russian Federation, Saint Petersburg, RussiaMariya I Yarmolinskaya
FSBSI “The Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott”
Email: m.yarmolinskaya@gmail.com
professor of Russian Academy of Sciences, leading research assistant of department of endocrinology of reproduction, Doctor of medical sciences, head of center “Diagnostics and treatment of endometriosis”
Russian Federation, Saint Petersburg, RussiaArseniy S Molotkov
FSBSI “The Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott”
Email: arseny.molotkov@gmail.com
candidate of medical sciences
Russian Federation, Saint Petersburg, RussiaDmitry Z Tsitskarava
FSBSI “The Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott”
Email: tsitsskarava@yandex.ru
postgraduate student. Department of operative gynecology.
Russian Federation, Saint Petersburg, RussiaReferences
- Sampson JA. Perforating hemorrhagic cysts of the ovary, their importance and especially their relation to pelvic adenomas of endometrial type. Archives of Surgery. 1921;3(1):245-7.
- Riva HC, Kawasaki DM, Messinger AJ. Further experience with norethynodrel in treatment of endometriosis. Obstet Gynecol. 1962;19(1):111-7.
- Beecham CT. Classification of endometriosis [editorial]. Obstet Gynecol. 1966;28(3):437.
- Acosta AA, Buttram VC Jr, Besch PK, et al. A proposed classification of pelvic endometriosis. Obstet Gynecol. 1973;42(1):19-25.
- Стрижаков А.Н. Патогенез, клиника и терапия генитального эндометриоза: автореф. дис. … д-ра мед. наук. – М., 1977. [Strizhakov AN. Patogenez, klinika i terapija genital’nogo jendometrioza. [dissertation]. Moscow; 1977. (In Russ.)]
- Стрижаков А.Н., Давыдов А.И. Эндометриоз. Клинические и теоретические аспекты. – М.: Медицина, 1996. [Strizhakov AN, Davydov AI. Jendometrioz. Klinicheskie i teoreticheskie aspekty. Moscow: Medicina; 1996. (In Russ.)]
- The American Fertility Society. Classification of endometriosis. Fertil Steril.1979;32(5-6):633-4.
- The American Fertility Society. Revised American Fertility Society classification of endometriosis. Fertil Steril. 1985;43:351-2.
- Revised American Society for Reproductive Medicine. Classification of endometriosis. 1996. Fertil Steril. 1997;67(5):817-21.
- Koninckx PR, Meuleman C, Demeyere S, et al. Suggestive evidence that pelvic endometriosis is a progressive disease, whereas deeply infiltrating endometriosis is associated with pelvic pain. Fertil Steril. 1991;55(4):759-65.
- Адамян Л.В., Кулаков В.И. Эндометриозы. – М.: Медицина, 1998. [Adamjan LV, Kulakov VI. Jendometriozy. Moscow: Medicina; 1998. (In Russ.)]
- Савельева Г.М., Бреусенко В.Г., Каппушева Л.М. Гистероскопия. Атлас и руководство. – М.: ГЭОТАР-Медиа, 2012. [Savel’eva GM, Breusenko VG, Kappusheva LM. Gisteroskopija. Atlas i rukovodstvo. Moscow: GJeOTAR-Media; 2012. (In Russ.)]
- Pistofidis G, Makrakis E, Koukoura O, et al. Distinct types of uterine adenomyosis based on laparoscopic and histopathologic criteria. Clin Exp Obstet Gynecol. 2014;41(2):113-8.
- Ищенко А.И. Патогенез, клиника, диагностика и оперативное лечение распространенных форм генитального эндометриоза: автореф. дис. … д-ра мед. наук. – М., 1993. [Ishhenko AI. Patogenez, klinika, diagnostika i operativnoe lechenie rasprostranennyh form genital’nogo jendometrioza. [dissertation]. Moscow; 1993. (In Russ.)]
- Chapron C, Fauconnier A, Vieira M, et al. Anatomical distribution of deeply infiltrating endometriosis: surgical implications and proposition for a classification. Hum Reprod. 2003;18(1):157-61.
- Tuttlies F, Keckstein J, Ulrich U, et al. ENZIAN-score, a classification of deep infiltrating endometriosis. Zentralbl Gynakol. 2005;127:275-81. doi: 10.1055/s-2005-836904.
- Adamson GD. Endometriosis Fertility Index: is it better than the present staging systems? Current Opinion in Obstetrics Gynecology. 2013;25(3):186-92. doi: 10.1097/GCO.0b013e32836091da.
- Johnson NP, Hummelshoj L, Adamson GD, et al. For the World Endometriosis Society Sao Paulo Consortium. World Endometriosis Society consensus on the classification of endometriosis. Hum Reprod. 2017;32(2):315-24. doi: 10.1093/humrep/dew293.
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