Journal article

Comparing endometriotic lesions with eutopic endometrium: time to shift focus?

Eliza M Colgrave, Janet R Keast, Sophie Bittinger, Martin Healey, Peter AW Rogers, Sarah J Holdsworth-Carson, Jane E Girling

Hum Reprod | Published : 2021

Abstract

Endometriosis is a heterogeneous disease in terms of patient symptoms, treatment responsiveness and the presentation of endometriotic lesions. This article explores the histological features of endometriotic lesions, highlighting their sometimes underappreciated heterogeneity. We note the variability in evidence for and against the menstrual cycle responsiveness of lesions and consider the utility of drawing parallels between endometriotic lesions and eutopic endometrium. We ask whether histopathologic features beyond just the presence/absence of endometrial-like glands and/or stroma could help improve disease stratification. At the same time, we acknowledge the desire of many clinicians and..

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