Histopathologic features of endometriotic rectal nodules and the implications for management by rectal nodule excision.
Using data from 27 women with deep rectal endometriosis, managed by segmental resection, we observed that in 89% of cases active glandular endometrial foci were responsible for a deeper infiltration of rectal layers than that of fibrosis and smooth fibers by 5 mm on average. These data might be useful for surgeons performing rectal nodule excision, suggesting the benefits of administrating postoperative medical treatment to reduce the risk of rectal recurrences caused by remaining active endometriotic foci.
Roman
Horace
H
Department of Gynecology and Obstetrics, Rouen University Hospital, Rouen, France. Electronic address: horace.roman@gmail.com.
Opris
Ioana
I
Department of Pathology, Rouen University Hospital, Rouen, France.
Resch
Benoit
B
Department of Gynecology and Obstetrics, Rouen University Hospital, Rouen, France.
Tuech
Jean Jacques
JJ
Department of Surgery, Rouen University Hospital, Rouen, France.
Sabourin
Jean-Christophe
JC
Department of Pathology, Rouen University Hospital, Rouen, France.
Marpeau
Loïc
L
Department of Gynecology and Obstetrics, Rouen University Hospital, Rouen, France.
D000328:Adult; D013505:Digestive System Surgical Procedures / Q000379:methods*; D004715:Endometriosis / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D012002:Rectal Diseases / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D012008:Recurrence; D012189:Retrospective Studies; D055815:Young Adult