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Obstet Gynecol Sci > Volume 54(8); 2011 > Article
Korean Journal of Obstetrics & Gynecology 2011;54(8):448-453.
DOI: https://doi.org/10.5468/KJOG.2011.54.8.448    Published online August 1, 2011.
Prognosis of endometriosis after surgical treatment in adolescents below 20 year age.
Na Young Sung, Bong Seok Kim, Yeon Jean Cho, Youn Sil Choo, Joo Myoung Kim, Seung Heon Yang
Department of Obstetrics and Gynecology, Cheil General Hospital & Women's Healthcare Center, Kwandong University College of Medicine, Seoul, Korea. jeanjane@naver.com
Abstract
OBJECTIVE
To evaluate the clinical characteristics and prognosis of surgically treated endometriosis in adolescent women below 20 year age. METHODS: A retrospective review was conducted on patients diagnosed endometriosis on operation below 20 year age at Cheil General Hospital between January 2001 and October 2010. Clinical characteristics, treatment results and follow-up data for 79 women were collected. RESULTS: The mean age at operation was 18.5 year age, and in 5 cases (6.3%) the operation was performed at < or = 15 year age. Mullerian anomalies were accompanied in 6 cases (7.6%). Seventy-nine per cent of patients had pain associated symptoms such as dysmenorrhea, non cyclic pelvic pain, and gastrointestinal pain. Endometriosis was found to be stage I in 20.3% of patients, stage II in 7.6% of patients, stage III in 40.5% of patients and stage IV in 31.6% of patients. We could not find any recurrence in patients with stage I and II endometriosis, however patients with stage III and IV endometriosis showed recurrence rates of 15.6% and 28.0%, respectively, during the mean follow-up period (33.7 +/- 28.5 months). During the 36-month follow-up, the cumulative proportion of subjects free from endometrioma recurrence was 82.5%, but the rate increased as the follow-up period was extended. CONCLUSION: Endometriosis can occur in adolescents and the recurrence rate is higher in advanced stage. As endometriosis is a progressive disease, early diagnosis and treatment during adolescence may be necessary.
Key Words: Endometriosis, Adolescent, Recurrence, Mullerian anomaly


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