دورية أكاديمية
أعرض في EDS

Atypical Endometriosis: A Comprehensive Systematic Review of Pathological Patterns and Diagnostic Challenges.

التفاصيل البيبلوغرافية
العنوان: Atypical Endometriosis: A Comprehensive Systematic Review of Pathological Patterns and Diagnostic Challenges.
المؤلفون: Capozzi VA; Department of Obstetrics and Gynecology, University Hospital of Parma, 43125 Parma, Italy., Scarpelli E; Department of Obstetrics and Gynecology, University Hospital of Parma, 43125 Parma, Italy., dell'Omo S; Department of Obstetrics and Gynecology, University Hospital of Parma, 43125 Parma, Italy., Rolla M; Department of Obstetrics and Gynecology, University Hospital of Parma, 43125 Parma, Italy., Pezzani A; Department of Obstetrics and Gynecology, University Hospital of Parma, 43125 Parma, Italy., Morganelli G; Department of Obstetrics and Gynecology, University Hospital of Parma, 43125 Parma, Italy., Gaiano M; Department of Obstetrics and Gynecology, University Hospital of Parma, 43125 Parma, Italy., Ghi T; Department of Obstetrics and Gynecology, University Hospital of Parma, 43125 Parma, Italy., Berretta R; Department of Obstetrics and Gynecology, University Hospital of Parma, 43125 Parma, Italy.
المصدر: Biomedicines [Biomedicines] 2024 May 29; Vol. 12 (6). Date of Electronic Publication: 2024 May 29.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101691304 Publication Model: Electronic Cited Medium: Print ISSN: 2227-9059 (Print) Linking ISSN: 22279059 NLM ISO Abbreviation: Biomedicines Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Basel, Switzerland : MDPI AG, [2013]-
مستخلص: Endometriosis is a benign condition affecting women of reproductive age. A potential association with ovarian cancer has been documented. Atypical endometriosis (AE) is characterized by deviations from the typical microscopic appearance of endometriosis, including cytologic and architectural atypia. AE has been recognized as a potential precursor to endometriosis-associated ovarian cancers (EAOC), particularly endometrioid and clear cell subtypes. AE presents challenges in diagnosis due to its diverse clinical and pathological features, often requiring careful histological evaluation for accurate identification. Architectural AE, defined by localized proliferation of crowded glands with atypical epithelium resembling endometrial neoplasia, and cytologic AE, characterized by nuclear atypia within the epithelial lining of endometriotic cysts, are key subtypes. Immunohistochemical and molecular studies have revealed aberrant expression of markers such as Ki67, COX-2, BAF250a, p53, estrogen receptor, progesterone receptor, and IMP-3. Long-term follow-up studies suggest relatively low recurrence and malignant transformation rates among patients with AE, but uncertainties persist regarding its exact malignancy potential and optimal management strategies. Integration of artificial intelligence and shared molecular aberrations between AE and EAOC may enhance diagnostic accuracy. Continuous interdisciplinary collaboration and ongoing research efforts are crucial for a deeper understanding of the relationship between endometriosis and carcinogenesis, ultimately improving patient care and surveillance.
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فهرسة مساهمة: Keywords: atypical endometriosis; endometriosis; endometriosis and risk of malignancy; endometriosis-associated ovarian cancer; ultrasound and endometriosis
تواريخ الأحداث: Date Created: 20240627 Latest Revision: 20240629
رمز التحديث: 20240629
مُعرف محوري في PubMed: PMC11201022
DOI: 10.3390/biomedicines12061209
PMID: 38927416
قاعدة البيانات: MEDLINE
الوصف
تدمد:2227-9059
DOI:10.3390/biomedicines12061209