Human Reproduction, Vol. 15, No. 1, 4-7,
January 2000
© 2000 European Society of Human Reproduction and Embryology
Redefining endometriosis: Endometriosis is an entity with extreme pleiomorphism
Department of Obstetrics and Gynaecology, Klinikum Darmstadt, Academic Teaching Hospital to the University of Frankfurt, Darmstadt, Germany
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Introduction |
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Endometriosis and adenomyosis have long been considered as one entity with a common, although unknown, aetiology (Meyer, 1919
). After the term endometriosis was coined (Sampson, 1927), it was widely used for the intrauterine and the extrauterine variety of the disease respectively (Counseller, 1938). However, it was the theory of tubal spread of normal endometrial cells by retrograde menstruation as the cause of pelvic endometriosis (Sampson, 1927) that finally led to consideration of both localizations of ectopic endometrial growth as different entities. If Sampson's theory were correct, then infiltrative and expansive growth of endometrial glands and stroma with hyperplasia of surrounding muscular tissue into the depth of the myometrium would differ from pelvic endometriosis not only by localization but also by pathogenesis. Consequently, although the frequent association of endometriosis with adenomyosis was recognized (Emge, 1962; Pratt, 1972), it was suggested that the term `endometriosis' should |
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