title: Histopathologic features of endometriotic rectal nodules and the implications for management by rectal nodule excision.
abstract: 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.
authors.affiliation: Department of Gynecology and Obstetrics, Rouen University Hospital, Rouen, France. Electronic address: horace.roman@gmail.com.
authors.forename: Horace
authors.initials: H
authors.lastname: Roman
authors.affiliation: Department of Pathology, Rouen University Hospital, Rouen, France.
authors.forename: Ioana
authors.initials: I
authors.lastname: Opris
authors.affiliation: Department of Gynecology and Obstetrics, Rouen University Hospital, Rouen, France.
authors.forename: Benoit
authors.initials: B
authors.lastname: Resch
authors.affiliation: Department of Surgery, Rouen University Hospital, Rouen, France.
authors.forename: Jean Jacques
authors.initials: JJ
authors.lastname: Tuech
authors.affiliation: Department of Pathology, Rouen University Hospital, Rouen, France.
authors.forename: Jean-Christophe
authors.initials: JC
authors.lastname: Sabourin
authors.affiliation: Department of Gynecology and Obstetrics, Rouen University Hospital, Rouen, France.
authors.forename: Loïc
authors.initials: L
authors.lastname: Marpeau
mesh_terms: 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