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Written by an internationally well-known editor team, Endometriosis: Science and Practice is a state-of-the-art guide to this surprisingly common disease. While no cause for endometriosis has been determined, information of recent developments are outlined in this text, offering insight to improve management of symptoms medically or surgically. The first of its kind, this major textbook integrates scientific and clinical understanding of this painful disease helping to provide better patient care.
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Seitenzahl: 2067
Veröffentlichungsjahr: 2012
Contents
List of Contributors
Preface
List of Abbreviations
Part 1 History, Epidemiology, and Economics
1 History of Endometriosis: A 20th-Century Disease
Introduction
Who identified endometriosis?
Clinical issues
Modern therapeutic approaches
In search of the pathogenesis
Conclusion
References
2 Endometriosis: Epidemiology, and Etiological Factors
Introduction
Risk factors
Conclusion
References
3 Economic Perspective on Diagnosis and Treatment of Endometriosis
Introduction
Costs
Cost-effectiveness
Conclusion
References
Part 2 Pathogenesis
4 Pathogenesis: Development of the Female Genital Tract
Introduction
Undifferentiated phase
Differentiation of the gonads
Development of the internal genitals
Development of the external genitals
Sex-determining factor
Embryonic origin of endometriosis
Conclusion
References
5 Theories on the Pathogenesis of Endometriosis
Introduction
The theories
The phenomenon and the disease
Conclusion
References
6 Understanding the Pathogenesis of Endometriosis: Gene Mapping Studies
Introduction
Genetic contributions to endometriosis
Candidate genes
Linkage studies
Genome-wide association studies
Genetic contribution to common disease is largely unexplained
Beyond the top hits
Translation of genome-wide association study results to the clinic
Conclusion
References
7 Pathogenesis: Epigenetics
Introduction
Epigenetics
Epigenetic regulation in endometrium
Epigenetic aberrations in endometriosis
MicroRNA deregulation in endometriosis
Therapeutic implications
Diagnostic and prognostic implications
Conclusion
References
Part 3 Disease Characterization
8 Endometriosis: Disease Classification and Behavior
Introduction
Classification systems of historical interest
American Fertility Society classification
Behavior and symptoms
Potential synergies in the development of an improved classification system
American Association of Gynecologic Laparoscopists proposed endometriosis tabulation system
ENZIAN classification system
Conclusion
References
9 Peritoneal, Ovarian, and Rectovaginal Endometriosis are Three Different Entities
Introduction
Peritoneal endometriosis
Ovarian endometriosis
The so-called rectovaginal or deep endometriosis
Conclusion
References
10 Extra-abdominal Endometriosis
Introduction
Thoracic endometriosis
Other sites of extragenital endometriosis
Conclusion
References
Part 4 Biological Basis and Pathophysiology of Endometriosis
11 Biology of Eutopic and Ectopic Endometrium in Women with Endometriosis
Introduction
(Patho)biology of eutopic and ectopic endometrium
Peritoneal cavity: role of peritoneal fluid in endometriosis
Cell adhesion molecules in eutopic endometrium and endometriosis: general remarks
Cadherin-mediated cell–cell adhesion and regulatory circuits: impact on the pathogenesis of endometriosis
Extracellular matrix remodelling and integrin expression in endometriotic foci
Reflection on current knowledge and perspectives
References
12 Stem Cells in Endometriosis
Properties of adult stem cells
Endometrial stem/progenitor cells
Endometrial stem/progenitor cells in endometriosis
Conclusion
References
13 Role of Steroid Hormones: Estrogen and Endometriosis
Introduction
What do we know about the impact of estrogen in the pathophysiology of endometriosis?
Estrogen-dependent physiological and molecular changes in endometriosis
Therapeutic approaches based on estrogen action
Conclusion
References
14 Role of Steroid Hormones: Progesterone Signaling
Introduction
Progesterone actions in the female reproductive tract
Progesterone resistance in endometriosis
Genomic and non-genomic progesterone signaling
Progesterone receptor action: the classic model
Progesterone receptor action: a changing paradigm
Mechanisms of progesterone resistance in endometriosis
Conclusion
References
15 Early Origins of Endometriosis: Role of Endocrine Disrupting Chemicals
Introduction
Critical and sensitive windows
Developmental origin of endometriosis
Endocrine disrupting chemicals and endometriosis
Life course perspective for endometriosis
References
16 Signaling Pathways in Endometriosis (Eutopic/Ectopic)
Introduction
Endometriosis
Signaling pathways
Conclusion
References
17 MicroRNAs in Endometriosis
Introduction
Studies exploring microRNA expression profiles in endometriosis
The role of microRNAs in endometriotic lesion development: a model
MicroRNAs and risk factors for endometriosis
Diagnostic and therapeutic potential of microRNAs
Conclusion
Referennces
18 HOX Genes and Endometriosis
Introduction
Introduction to HOX genes
HOX gene expression in the endometrium
Roles of HOX genes in endometrium
HOX gene expression in endometriosis
Mechanisms of altered HOX gene expression/epigenetic regulation
Correction of abnormal expression of HOXA10
Conclusion
References
19 Angiogenesis and Endometriosis
Introduction
Angiogenesis in the endometrium
Angiogenesis in the endometriotic lesion
Conclusion
References
20 Uterine Peristalsis and the Development of Endometriosis and Adenomyosis
Introduction
The concept of the archimetra and its structure and function
The role of the uterus in the disease process
Tissue injury and repair – archimetral hyperestrogenism
Mechanism of disease: uterine autotraumatization
Premenarcheal endometriosis
Ectopic lesions
Conclusion
References
21 Pelvic Mechanisms Involved in the Pathophysiology of Pain in Endometriosis
Introduction
Symptoms and signs
Anatomical pathways of pain
Pathophysiological mechanisms relevant to pain within the eutopic endometrium and myometrium
Pathophysiological mechanisms in ectopic lesions
Local mechanisms related to mediation of pain in endometrium and endometriotic lesions
Linkage of peripheral pain signaling with central mechanisms
Implications for clinical management of pelvic pain
Future directions in research into pelvic pain mechanisms
Conclusion
References
22 Neuroendocrine Aspects of Endometriosis-Associated Pain
Introduction
The spectrum of endometriosis-associated pain
Endocrine influences on endometriosis-associated pain
Surgical influences on endometriosis-associated pain
Nervous system mechanisms of endometriosis-associated pain
Rethinking endometriosis-associated chronic pelvic pain: neuroendocrine mechanisms of endometriosis-associated pain
Neuroimmune and neuroendocrine factors
Conclusion
References
23 Pathophysiology of Infertility in Endometriosis
Introduction
Implantation and endometrial receptivity
Endometriosis overview
Diagnosis of endometriosis
Infertility and endometriosis
Mechanisms of infertility in endometriosis
Endometriosis and progesterone resistance
Improving studies on endometriosis on infertility
Conclusion
References
24 Inflammation and Endometriosis
Implantation hypothesis
Complement system and immunoglobulins
Cellular immunity
Cytokines and growth factors
Adhesion molecules
References
Part 5 Models of Endometriosis
25 Models of Endometriosis: In vitro and In vivo Models
Introduction
In vitro models
Chorio-allantoic membrane assay
In vivo models
Conclusion
References
26 Models of Endometriosis: Animal Models I – Rodent-based Chimeric Models
Introduction
Autologous models of experimental endometriosis
Experimental endometriosis in immunocompromised mice
Preclinical therapeutic testing
Experimental endometriosis models and examination of disease mechanism
Conclusion
References
27 Models of Endometriosis: Animal Models II – Non-human Primates
Introduction
Primate models of endometriosis
Development and survival of ectopic lesions
Impact of endometriosis on endometrial development
Conclusion
References
Part 6 Diagnosis of Endometriosis
28 Surgical Historical Overview
Introduction
Laparotomy
Culdoscopy
Laparoscopy
Subtle appearances of endometriosis
Endometrioma
Peritoneal endometriosis
Conclusion
References
29 Diagnosis of Endometriosis: Imaging
Introduction
Peritoneal disease
Ovarian endometriosis
Deep invasive endometriosis
Magnetic resonance imaging technique
Conclusion
References
30 Diagnosis of Endometriosis: Biomarkers
Introduction
What makes a good biomarker?
Characteristics of a biomarker for endometriosis
Need for standardization
Tumor markers (CA-125 and CA-19–9) and soluble intracellular adhesion molecule-1
Cytokines
Other protein markers
Other blood-based markers
Peritoneal fluid markers
Endometrial markers
Conclusion
References
31 Diagnosis of Endometriosis: Proteomics
Introduction
Proteomic approaches to provide markers for diagnosis
Issues to be considered
Looking to the future: emerging proteomics technologies
Conclusion
References
32 Diagnosis of Endometriosis: Transcriptomics
Introduction
Transcriptomic platforms
Unique caveats in endometrium and endometriosis
Global gene expression profiling of eutopic endometrium
Diagnostic DNA microarray with disease-relevant biomarkers
Conclusion
References
Part 7 Medical Therapies for Pain
33 Medical Therapies: Randomized Controlled Trials/Traditional Medical Therapies
Introduction
Sources of randomized controlled trial evidence for medical therapies for endometriosis
Randomized controlled trial evidence for interventions
Future clinical trials
References
34 Medical Therapies: Progestins
Introduction
Mode of action
Evidence base for treating endometriosis with progestins
Route of administration
Side-effects of progestins
Conclusion
References
35 Medical Therapies: Aromatase Inhibitors
Introduction
Aromatase enzyme and endometriosis
Pharmacology of aromatase inhibitors
Side-effects of aromatase inhibitors
Aromatase inhibitors in premenopausal women
Aromatase inhibitors and endometriosis
Conclusion
References
36 Medical Therapies: Statins
Introduction
Pathophysiology of endometriosis and mechanisms of action of statins
Other potential benefits of use of statins
Statins: effects in vivo (rodent models of endometriosis)
Future directions
Conclusion
References
Part 8 Surgical Therapies for Pain
37 Surgical Therapies: Principles and Triage in Endometriosis
Introduction
Triage
Principles of surgical therapies
Conclusion
References
38 Surgical Therapies: Peritoneal Endometriosis Surgery
Introduction
Morphological appearance of endometriosis
Diagnostic accuracy
Excision of endometriosis
Ablation of endometriosis
Pathophysiology of endometriosis-associated pain
Endometriosis and peritoneal adhesions
Disease recurrence
Incidental endometriosis
Adjuvant medical therapy
Conclusion
References
39 Surgical Therapies: Pouch of Douglas and Uterovaginal Pouch Resection for Endometriosis
Introduction
Anatomical points of reference
When is deep endometriosis suspected in the pouch of Douglas?
What is the best management of deep endometriosis in the pouch of Douglas?
Endometriosis in the pouch of Douglas affecting the rectum
Surgical tactics for managing the posterior cul-de-sac
Conclusion
References
40 Surgical Therapies: Randomized Controlled Trials in Endometriosis
Introduction
Randomized controlled surgical trials
Mode of surgical treatment
Ovarian endometriomas and pain
Deeply invasive disease
Nerve ablation to treat endometriosis-related pain
Hysterectomy to treat endometriosis-related pain
Combined medical and surgical treatment
Conclusion
References
41 Surgical Therapies: Rectal/Bowel Endometriosis
Introduction
Symptoms of rectal/bowel endometriosis
Definition of bowel endometriosis
Investigations
Indications for bowel surgery
Infertility and bowel endometriosis
Preoperative surgical consent
Surgical procedure
Conclusion
References
42 Surgical Therapies: Ureteric Dissection and Urological Endometriosis
Incidence
Pathogenesis
Clinical presentation
Diagnostics and investigation
Planning of management and general issues
Definitive surgical management of bladder and ureteric endometriosis
References
43 Surgical Therapies: Robotics and Endometriosis
Introduction
Slow adoption into minimally invasive surgery
Diagnostic laparoscopy
Surgical management of endometriosis
Relief of pain
Fertility outcomes after minimally invasive surgery for endometriosis
Conclusion
References
Part 9 Infertility and Endometriosis
44 Medical Therapy of Endometriosis: Subfertility
Introduction
Does endometriosis affect fertility?
Does medical treatment restore fertility?
Estimating the effect of medical treatment: a fallacy
Other medical treatments
Conclusion
References
45 Infertility Therapies: The Role of Surgery
Introduction
Effective gynecological day surgery
Current status of endoscopic endometriosis surgery
Controversies
Audit
Future directions: endometriosis surgical centers
References
46 Infertility Therapies: The Role of Assisted Reproductive Technologies
Introduction
In vitro fertilization outcomes in patients with endometriosis
Medical treatment prior to in vitro fertilization
Surgical treatment prior to in vitro fertilization
In vitro fertilization complications associated with endometriosis
Stimulation protocols
Conclusion
References
47 Ovarian Endometrioma: Surgery and Fertility Preservation
Ontogenesis
Histopathology
Diagnosis and classification
Impact on fertility
Treatment
References
Part 10 Associated Disorders
48 Endometriosis and Autoimmunity
Introduction
Endometriosis: role of defective immunosurveillance
Role of defective immune system
Endometriosis: immune tolerance
Autoimmunity
Genetic polymorphisms associated with autoimmune diseases and endometriosis
Hormonal influences
Common features in endometriosis and autoimmune diseases
Peritoneal and systemic inflammation in endometriosis
Conclusion
References
49 Endometriosis and Cancer: Epidemiology
Introduction
Endometriosis and ovarian cancer
Endometriosis and other cancers
Discussion
References
50 Molecular Mechanisms Underlying Endometriosis and Endometriosis-Related Cancers
Epidemiology
Etiology and pathogenesis
Key genes and pathways associated with the development and propagation of endometriosis
Modeling endometriosis: animal models of disease
Link between endometriosis and cancer
Current surgical and medical therapeutic strategies for endometriosis
References
51 Pregnancy and Obstetric Outcomes in Women with Endometriosis
Introduction
Effects of pregnancy on endometriosis
Effects of endometriosis on pregnancy
Conclusion
References
52 Sexuality in Endometriosis
Introduction
Factors involved in sexual disorders
Endometriosis-related sexual disorders
Diagnosis of sexual disorders
Therapeutic options
Prognosis
Conclusion
References
53 Psychosomatic Aspects
Introduction
Psychosomatic and psychosocial factors in the genesis of endometriosis
Diagnostic delay
Doctor–patient relationship
Psychosomatic and psychosocial consequences of diagnosed endometriosis
Psychosomatic therapeutic options
Future research into psychosomatic/psychosocial aspects of endometriosis
Conclusion
References
54 Endometriosis in the Adolescent Patient
Introduction
Pathophysiology of endometriosis in adolescence
Endometriosis epidemiology
Presentation and diagnosis
Management strategies
Conclusion
References
55 Fertility Preservation in Patients with Endometrioma
Introduction
Endometriomas
Current and emerging treatments for fertility preservation
Fertility preservation for patients with endometriomas (see Box 55.1)
References
56 Eye to the Future: Research, Diagnostics, and Therapeutics
Future directions in endometriosis research
Future directions in diagnosis of endometriosis
Future directions in treatment of endometriosis
References
Plates
Index
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Library of Congress Cataloging-in-Publication Data
Endometriosis : science and practice / edited by Linda C. Giudice, Johannes L.H. Evers, David L. Healy. p. cm. Includes bibliographical references and index.
ISBN-13: 978-1-4443-3213-1 (hardcover : alk. paper)ISBN-10: 1-4443-3213-9 (hardcover : alk. paper)1. Endometriosis. I. Giudice, Linda. II. Evers, Johannes Leonardus Henricus, 1949– III. Healy, D. L. (David Lindsay) [DNLM: 1. Endometriosis. WP 390] RG483.E53E556 2012 618.1′42–dc23
2011027301
A catalogue record for this book is available from the British Library.
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List of Contributors
Jason Abbott BMed (Hons) MRCOG FRANZCOG PhD
Associate Professor of Obstetrics and Gynaecology
University of New South Wales
Sydney, Australia
Maurício S. Abrão MD
Associate Professor, Director, Endometriosis Division
Department of Obstetrics and Gynecology
University of São Paulo Medical School
São Paulo, Brazil
G. David Adamson MD, FRCSC, FACOG, FACS
Director, Fertility Physicians of Northern California
Adjunct Clinical Professor, Stanford University
Associate Clinical Professor, University of California San Francisco
San Francisco, CA, USA
Marco Alifano MD, PhD
Professor of Thoracic Surgery
Department of Thoracic Surgery
Cochin-Hôtel-Dieu Hospital
Paris V University
Paris, France
Marwa K. Al-Sabbagh
Research Fellow
Institute of Reproductive and Developmental Biology
Imperial College London
London, UK
Ayman Al-Talib MD
Department of Obstetrics and Gynecology
McGill University
Montreal, Canada
Erkut Attar MD, PhD
Professor
Division of Endocrinology and Infertility
Department of Gynecology
Istanbul University
Istanbul Medical School
Istanbul, Turkey
Kurt T. Barnhart MD, MSCE
Professor Obstetrics and Gynecology and Epidemiology
Assistant Dean, University of Pennsylvania School of Medicine
Director, Women’s Health Clinical Research Center
University of Pennsylvania
Philadelphia, PA, USA
Regina G. H. Beets-Tan
Professor in Radiology
Department of Radiology
Maastricht University Medical Center
Maastricht, The Netherlands
Giuseppe Benagiano
Department of Gynecology and Obstetrics
Sapienza
University of Rome
Rome, Italy
Marina Berbic BMedSc, MScMed (RHHG)
Senior Research Fellow
Department of Obstetrics, Gynaecology and Neonatology
Queen Elizabeth II Research Institute for Mothers and Infants
The University of Sydney
Sydney, Australia
Karen J. Berkley PhD
Professor Emeritus
Program in Neuroscience
Florida State University
Tallahassee, FL USA
Tommaso Bignardi MD
Department of Obstetrics and Gynaecology
Nepean Clinical School
University of Sydney
Sydney, Australia
Antonio Bobbio MD, PhD
Senior Surgeon
Department of Thoracic Surgery
Cochin-Hôtel-Dieu Hospital
Paris V University
Paris, France
Ivo Brosens MD PhD FRCOG (ad eundem)
Professor Emeritus
Department of Obstetrics and Gynaecology
Catholic University of Leuven
Leuven, Belgium
Jan J. Brosens MD FRCOG PhD
Professor of Reproductive Medicine & Sciences
Honorary Consultant Gynaecologist
Institute of Reproductive and Developmental Biology
Imperial College London
London, UK
Kaylon L. Bruner-Tran PhD
Assistant Professor
Department of Obstetrics and Gynecology
Women’s Reproductive Health Research Center
Vanderbilt University School of Medicine
Nashville, TN, USA
Germaine M. Buck Louis PhD, MS
Director and Senior Investigator
Division of Epidemiology, Statistics & Prevention Research
Eunice Kennedy Shriver National Institute of Child Health and
Human Development
National Institutes of Health
Bethesda, MD, USA
Serdar E. Bulun MD
George H. Gardner Professor of Clinical Gynecology
Chief, Division of Reproductive Biology Research
Department of Obstetrics and Gynecology
Northwestern University
Feinberg School of Medicine
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