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REVIEW PAPER
Endometrial cyst and its changes during pregnancy – a narrative review of the literature
 
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1
Collegium Medicum, Jan Kochanowski University, Kielce, Poland
 
2
Clinic of Obstetrics and Gynaecology, Provincial Combined Hospital, Kielce, Poland
 
 
Submission date: 2021-06-29
 
 
Final revision date: 2021-08-10
 
 
Acceptance date: 2021-08-17
 
 
Publication date: 2021-09-30
 
 
Medical Studies 2021;37(3):226-231
 
KEYWORDS
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ABSTRACT
Endometrioma of the ovary (chocolate cyst) is one of the most common tumours of the appendages diagnosed in pregnant patients. In approximately 12% of pregnancies with diagnosed ovarian endometriomas, the process of decidualization, i.e. tumour secretory transformation, occurs under the influence of high progesterone concentrations. Decidualized endometrioma is a benign lesion, but its ultrasound appearance imitates a malignancy; therefore, knowledge of the process and diagnostic possibilities is extremely important for the clinician, and it may limit the number of surgical interventions in pregnant patients. This review discusses the decidualization of endometriosis as well as the ultrasound and biochemical diagnostics of this entity.
REFERENCES (27)
1.
Lin KY, Chang CY, Lin WC, Wan L. Increased risk of endometriosis in patients with endometritis – a nationwide cohort study involving 84,150 individuals. Ginekol Pol 2020; 91: 193-200.
 
2.
Gica N, Panaitescu AM, Iancu G, Botezatu R, Peltecu G, Gica C. The role of biological markers in predicting infertility associated with non-obstructive endometriosis. Ginekol Pol 2020; 91: 189-192.
 
3.
Missmer SA, Hankinson SE, Spiegelman D, Barbieri RL, Marshall LM, Hunter DJ. Incidence of laparoscopically confirmend endometriosis by demographic, anthropometric, and lifestyle factors. Am J Epidemiol 2004; 160: 784.
 
4.
Audebert A, Petousis S, Margioula-Siarkou C, Ravanos K, Prapas N, Prapas Y. Anatomic distribution of endometriosis: a reappraisal based on series of 1101 patients. Eur J Obstet Gynecol Reprod Biol 2018; 230: 36.
 
5.
Han S, Lee H, Kim S, Joo J, Suh D, Kim K, Lee K. Risk factors related to the recurrence of endometrioma in patients with long-term postoperative medical therapy. Ginekol Pol 2018; 89: 611-617.
 
6.
Leeners B, Damaso F, Ochsenbein-Kölble N, Farquhar C. The effect of pregnancy on endometriosis-facts or fiction? Hum Reprod Update 2018; 24: 290-299.
 
7.
Lalani S, Choudhry AJ, Firth B, Bacal V, Walker M, Wen SW, Singh S, Amath A, Hodge M, Chen I. Endometriosis and adverse maternal, fetal and neonatal outcomes, a systematic review and meta-analysis. Hum Reprod 2018; 33: 1854-1865.
 
8.
Warzecha D, Pietrzak B, Szymusik I, Smiech Z, Wielgos M. Should the patients with endometriosis be treated as a risk group of pregnancy complications? Single center experience and literature review and literature review. Ginekol Pol 2020; 91: 383-388.
 
9.
Miura M, Ushida T, Imai K, Wang J, Moriyama Y, NakanoKobayashi T, Osuka S, Kikkawa F, Kotani T. Adverse effects of endometriosis on pregnancy: a case-control study. BMC Pregnancy Childbirth 2019; 19: 373.
 
10.
Zupi E, De Felice G, Conway G, Martire F, Exacoustos C, Centini G, Patrizi L, Piccione E, Lazzeri L. From endometriosis to pregnancy: which is the “road-map”? J Endometr Pelvic Pain Disord 2017; 9: 252-262.
 
11.
Saraswat L, Ayansina DT, Cooper KG, Bhattacharya S, Miligkos D, Horne AW, Bhattacharya S. Pregnancy outcomes in women with endometriosis: a national record linkage study. BJOG 2017; 124: 444-452.
 
12.
Ueda Y, Enomoto T, Miyatake T, Fujita M, Yamamoto R, Kanagawa T, Shimizu H, Kimura T. A retrospective analysis of ovarian endometriosis during pregnancy. Fertil Steril 2010; 94: 78-84.
 
13.
Yazbek J, Salim R, Woelfer B, Aslam N, Lee CT, Jurkovic D. The value of ultrasound visualization of the ovaries during the routine 11-14 weeks nuchal translucency scan. Eur J Obstet Gynecol Reprod Biol 2007; 132: 154-158.
 
14.
Van Holsbeke C, Van Calster B, Guerriero S, Savelli L, Paladini D, Lissoni AA, Czekierdowski A, Fischerova D, Zhang J, Mestdagh G, Testa AC, Bourne T, Valentin L, Timmerman D. Endometriomas: their ultrasound characteristics. Ultrasound Obstet Gynecol 2010; 35: 730-740.
 
15.
Saavalainen L, Lassus H, But A, Tiitinen A, Härkki P, Gissler M, Pukkala E, Heikinheimo O. Risk of gynecologic cancer according to the type of endometriosis. Obstet Gynecol 2018; 131: 1095-1102.
 
16.
Kornovski Y, Atanasova Y, Kostov S, Slavchev S, Yordanov AD. Endometriosis and risk of ovarian cancer. Oncol Clin Pract 2021; 17: 125-127.
 
17.
Kvaskoff M, Horne AW, Missmer SA. Informing women with endometriosis about ovarian cancer risk. Lancet 2017; 390: 2433-2434.
 
18.
Nashibi R, Khosravi AD, Bakhtiary EE, Shiravi M. Evaluation of risk factors and the epidemiological pattern of nosocomial infection after gynaecological surgery in Ahvaz Imam Khomeini Hospital during the period 2011–2016. Medical Studies 2020; 36: 26-30.
 
19.
Łabuzek M, Grochowska A, Mika M, Wojtaszek K. Subjective assessment of post-operative pain in patients hospitalised in surgical wards. Medical Studies 2019; 35: 100-107.
 
20.
Młodawski J, Rokita W, Młodawska M. Stosowanie progesteronu w zapobieganiu porodowi przedwczesnemu. Ginekol Perin Prakt 2018; 3: 85-92.
 
21.
Mascilini F, Moruzzi C, Giansiracusa C, Guastafierro, F, Savelli L, De Meis L, Epstein E, Timor-Tritsch IE, Clinical and ultrasound characteristics of decidualized endometriomas surgisurgically removed during pregnancy. Ultrasound Obstet Gynecol 2014; 44: 354-360.
 
22.
Dodge JE, Covens AL, Lacchetti C, Elit LM, Le T, Devries-Aboud M, Fung-Kee-Fung M; Group Gynecology Cancer Disease Site. Preoperative identification of a suspicious adnexal mass: a systematic review and meta-analysis. Gynecol Oncol 2012; 126: 157-166.
 
23.
Dorigo O, Berek JS. Personalizing CA125 levels for ovarian cancer screening. Cancer Prev Res 2011; 4: 1356-1359.
 
24.
Rosenthal AN, Menon U, Jacobs IJ. Screening for ovarian cancer. Clin Obstet Gynecol 2006; 49: 433-447.
 
25.
Sarandakou A, Protonotariou E, Rizos D. Tumor markers in biological fluids associated with pregnancy. Crit Rev Clin Lab Sci 2007; 44: 151-178.
 
26.
Moore RG, Miller MC, Eklund EE, Lu KH, Bast RC Jr, Lambert-Messerlian G. Serum levels of the ovarian cancer biomarker HE4 are decreased in pregnancy and increase with age. Am J Obstet Gynecol 2012; 206: 349.e1-7.
 
27.
Borowski D, Pietryga M, Basta P, Cnota W, Czuba B, Dubiel M, Fuchs T, Huras H, Iciek R, Jaczynska R, Kaczmarek P, Kosinski P, Kwiatkowski S, Nocuń A, Pomorski M, Ropacka-Lesiak M, Rybak-Krzyszkowska M, Sieroszewski P, Węgrzyn P, Wiecheć M, Wielgoś M, Zimmer M. Rekomendacje Sekcji Ultrasonografii Polskiego Towarzystwa Ginekologów i Położników w zakresie przesiewowej diagnostyki ultrasonograficznej w ciąży o przebiegu prawidłowym – 2020 r. Ginekol Pol 2020; 91: 490-501.
 
eISSN:2300-6722
ISSN:1899-1874
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