Lectures

Endometriosis

by Carlo Raj, MD
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    Our topic now brings us to endometriosis. Before I move on though, I need to make sure that we’re very clear about the different terms that look quite similar with endometriosis that you’d be responsible for and I’ll be going over all of these. Here, endometriosis which you're quite familiar with the ectopic implantation of the endometrium and different organs. I’ll come to their definition again but you know what I’m referring to. If by chance you find ectopic implantation in the ovary, which is the most common site of ectopic implantation. Where should the endometrium be normally? The uterus. If there’s endometrial tissue on the ovary guess what you call that condition? Let me ask you something before we begin. Is this a cancer, endometriosis? No. It’s not. It’s an ectopic implantation. Someone even argued that this is a choristoma or heterotopic rest. Whatever. That’s really not my point. That's neither here or there. Really the point is it’s not a cancer. Why am I bringing this up? Because if the most common site of ectopic implantation is on the ovary, you call this an endometrioma. Doesn’t that awfully sound like a tumor? Wouldn’t you perhaps think that it’s a cancer? Sure. But it’s not. So an ectopic implantation of endometrium, specifically on the ovary, is called an endometrioma. Two that sound alike. A third one, let’s say that you actually have an ovarian tumor. You remember what that’s called that has a term endo in it? At some point, we’ll get into ovarian tumors. We will be discussing endometrioid tumor. Clear? Three. What were they again? Endometriosis, endometrioma, endometrioid. What if there was an inflammatory process in the endometrium? You call that endometritis. Are we clear? If not, that’s okay. Let me at least introduce these four terms...

    About the Lecture

    The lecture Endometriosis by Carlo Raj, MD is from the course Uterine and Fallopian Tube Disease.


    Included Quiz Questions

    1. Presence of endometrial glands outside the uterus
    2. Inflammation of the endometrium
    3. Carcinoma of the ovary, containing endometrium-like tisuue
    4. Tumor of the endometrium
    5. Infection in the endometrium
    1. Ovary
    2. Fallopian tube
    3. Pelvic peritoneum
    4. Uterine Ligament
    5. Rectovaginal Septum
    1. Dysmenorrhea
    2. Dysuria
    3. Constipation
    4. Amenorrhea
    5. Menorrhagia
    1. Uterine myometrium
    2. Fallopian Tube
    3. Ovary
    4. Breast
    5. Uterine lymphatics
    1. Vascular or lymphatic dissemination theory
    2. Regurgitation theory
    3. Metaplastic theory
    4. Auto-inoculation theory
    5. Hormonal metaplasia theory

    Author of lecture Endometriosis

     Carlo Raj, MD

    Carlo Raj, MD


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