Jiao HN, Song W, Feng WW, Liu H. Diagnosis and treatment of tubal endometriosis in women undergoing laparoscopy: A case series from a single hospital. World J Clin Cases 2022; 10(33): 12136-12145 [PMID: 36483829 DOI: 10.12998/wjcc.v10.i33.12136]
Corresponding Author of This Article
Hua Liu, PhD, Chief Doctor, Professor, Department of Obstetrics and Gynecology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, No. 197 Ruijin Er Road, Shanghai 200025, China. lh11239@rjh.com.cn
Research Domain of This Article
Obstetrics & Gynecology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Nov 26, 2022; 10(33): 12136-12145 Published online Nov 26, 2022. doi: 10.12998/wjcc.v10.i33.12136
Diagnosis and treatment of tubal endometriosis in women undergoing laparoscopy: A case series from a single hospital
Hai-Ning Jiao, Wei Song, Wei-Wei Feng, Hua Liu
Hai-Ning Jiao, Wei Song, Wei-Wei Feng, Hua Liu, Department of Obstetrics and Gynecology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
Author contributions: Jiao HN and Liu H contributed to the planning, conduction and report of the work; Jiao HN, Song W and Feng WW contributed to the conception and design of the work; Jiao HN, Feng WW and Liu H contributed to the acquisition of analysis and interpretation of the results; All authors have read and approved the manuscript.
Institutional review board statement: This article does not contain any studies with human participants or animals performed by any of the authors. This study was approved by Ethic Committee of Ruijin Hospital, Shanghai Jiaotong University (No. KY2022-126).
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent. Due to the retrospective nature of the study, informed consent was waived.
Conflict-of-interest statement: We have no conflict-of-interest to disclose.
Data sharing statement: The research data used to support the findings of this study were supplied by Prof. Liu under license and so cannot be made freely available. Requests for access to these data should be made to Prof. Liu (Email: lh11239@rjh.com.cn).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hua Liu, PhD, Chief Doctor, Professor, Department of Obstetrics and Gynecology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, No. 197 Ruijin Er Road, Shanghai 200025, China. lh11239@rjh.com.cn
Received: July 6, 2022 Peer-review started: July 6, 2022 First decision: September 25, 2022 Revised: September 30, 2022 Accepted: October 26, 2022 Article in press: October 26, 2022 Published online: November 26, 2022 Processing time: 140 Days and 4.8 Hours
ARTICLE HIGHLIGHTS
Research background
Tubal endometriosis (TEM) is characterized by ectopic endometrial glands and/or stroma within any part of the fallopian tube. TEM is difficult to diagnose during surgery and is usually detected by pathology after surgery.
Research motivation
The fields of infertility and EM management would benefit from further studies that evaluate the role of fallopian tubes and the anatomical location of endometriosis (EM) lesions in patients with infertility and pelvic pain.
Research objectives
To provide a clinical basis for the diagnosis and treatment of TEM.
Research methods
In this study, the data of 30 patients who underwent laparoscopic salpingectomy due to various gynecological diseases and had pathological confirmation of TEM at our hospital were retrospectively analyzed, and the clinical basis for the diagnosis and treatment of TEM was evaluated.
Research results
Pathology showed that only 2 patients had TEM without any other gynecological diseases, the rest had one or more lesions. The EM lesions of the unilateral fallopian tube and unilateral ovary were ipsilateral. One patient had left TEM combined with a left rudimentary uterine horn and a left ovarian endometriosis (OEM) cyst. The rate of TEM combined with EM (especially OEM) was higher than that of other gynecological diseases (P = 0.0001), which indicates that TEM is related to OEM.
Research conclusions
The final diagnosis of TEM depends on pathological examination since there are no specific clinical characteristics. The pathogenesis and mechanism of TEM have not been determined, but the correlation between TEM and OEM remains to be studied. The treatment of EM may help to increase the natural pregnancy rates, but further studies are needed for confirmation.
Research perspectives
The study of TEM will provide new ideas for the treatment of female infertility and other diseases and thus has very important clinical significance.
