Endometriosis: Radiologic-Pathologic Correlation

Paula J. Woodward, P J Woodward, Roya Sohaey, R Sohaey, Thomas Mezzetti, T P Mezzetti
Radiographics : a review publication of the Radiological Society of North America, Inc · 2001 · vol. 21(1) , pp. 193–216 · doi:10.1148/radiographics.21.1.g01ja14193 · PMID:11158655 · W2143117764
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This paper correlates radiologic findings with pathology for endometriosis, a disorder of functional endometrium outside the uterus, highlighting variable presentations and imaging features of endometriomas.

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Abstract

Endometriosis is an important gynecologic disorder primarily affecting women during their reproductive years. Pathologically, it is the result of functional endometrium located outside the uterus. It may vary from microscopic endometriotic implants to large cysts (endometriomas). The physical manifestations are protean, with some patients being asymptomatic and others having disabling pelvic pain, infertility, or adnexal masses. Symptoms do not necessarily correlate with the severity of the disease. Ultrasonographic (US) features are variable and can mimic those of other benign and malignant ovarian lesions. Low-level internal echoes and echogenic wall foci are more specific US features for endometriomas. Magnetic resonance imaging improves diagnostic accuracy, with endometriotic cysts typically appearing with high signal intensity on T1-weighted images and demonstrating "shading" on T2-weighted images. The ovaries are the most common sites affected, but endometriosis can also involve the gastrointestinal tract, urinary tract, chest, and soft tissues. Small implants and adhesions are not well evaluated radiologically; therefore, laparoscopy remains the standard of reference for diagnosis and staging. Both medical and surgical treatment options are available depending on the patient's specific case.

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Condition tags

mesh:D004715endometriosisinfertility

MeSH descriptors

Diagnostic Imaging Endometriosis Diagnosis, Differential Endometriosis Endometriosis Endometriosis Female Humans

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (60)

Cited by (50)

Source provenance

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