Endometriosis is a benign disease, however, does its presence increase the risk of ovarian cancer? Or, to ask differently, do ovarian cancers in women with endometriosis arise from the malignant transformation of endometriosis foci or not? A large number of studies has been published on this topic. One of the most interesting has been published recently, indicating that in women…
It is not clear how the disease evolves with time. In its deep form (DIE), it is likely that endometriosis is a progressive disease (getting progressively worse over time1). This only makes sense, if we accept that large lesions must have developed over a period of time. The rate of progress is unlikely to be fast2, but may vary between…
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The diagnosis of endometriosis is often difficult and this is secondary to a number of factors: Lack of awareness, incomplete understanding of the disease, heterogeneity of endometriosis, and co-existing diseases make the diagnosis complex. The mean delay from first symptom to diagnosis of endometriosis is around 8 years1. Many symptoms may first appear during adolescence and are often ignored as…