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Invasive Diagnostik der Endometriose und Adenomyose

Vom laparoskopischen Staging zur möglichen Behandlungsstrategie

Invasive diagnostics of endometriosis and adenomyosis

From laparoscopic staging to a possible treatment strategy

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Der Gynäkologe Aims and scope

Zusammenfassung

Endometriose ist eine komplexe systemische und chronische Erkrankung. Die Diagnostik muss diesem Charakter Rechnung tragen. Von entscheidender Bedeutung ist die diagnostische Laparoskopie. Schwere und das Ausmaß der Erkrankung werden über Klassifikationen erfasst, die dazu beitragen, Lokalisationen innerhalb und außerhalb der Peritonealhöhle sowie die Aktivität zu erfassen. Eine Sentinel-Lymphknoten-Biopsie, die Anwendung der Autofluoreszenz sowie eine präzise histopathologische Begutachtung endometriotischer Läsionen könnten zukünftig für Prognose und Therapieplanung von zusätzlicher Bedeutung sein.

Abstract

Endometriosis is a complex systemic and chronic disease. Precise diagnosis is of utmost importance. Reliable classification systems are available and useful for a comprehensive characterization of the disease. Additional informations concerning prognosis and possible therapeutic strategies may be provided in future by sentinel lymph node biopsy, histopathological grading and using the method of autofluorescence.

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Authors and Affiliations

  1. Endometriosezentrum, Stadtklinik Baden-Baden, Klinikum Mittelbaden, Balger Str. 50, 76532, Baden-Baden, Deutschland

    W. Küpker & M. Knoll

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  1. W. Küpker
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  2. M. Knoll
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Correspondence to W. Küpker.

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Küpker, W., Knoll, M. Invasive Diagnostik der Endometriose und Adenomyose. Gynäkologe 43, 910–917 (2010). https://doi.org/10.1007/s00129-010-2588-3

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  • DOI: https://doi.org/10.1007/s00129-010-2588-3

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