子宫内膜异位症的阶段

Endometriosis is categorized into four stages, namely: Stage I, which is minimal; Stage II, characterized as mild; Stage III, denoted as moderate; and Stage IV, indicating severe.

Endometriosis is a condition in which the tissue similar to the lining of the uterus (endometrium) grows outside the uterus, leading to various symptoms and potential complications.

The stages of endometriosis are typically classified according to the severity and extent of the disease, often referred to as the revised American Society for Reproductive Medicine (rASRM) staging system. This system categorizes endometriosis into four stages:

Stage I: Minimal

  • There are superficial implants of endometriosis that may be a few small lesions or filmy adhesions.
  • There is minimal or no scar tissue or adhesions affecting the pelvic organs.

Stage II: Mild

  • There are mild lesions or superficial implants of endometriosis on the pelvic lining or organs.
  • There may be some scar tissue or adhesions, but they are not extensive.

Stage III: Moderate

  • There are multiple implants of endometriosis, some of which may be deep.
  • There are more adhesions and scar tissue present, leading to organs potentially becoming stuck together.
  • Endometriomas (cysts) may be present on the ovaries.

Stage IV: Severe

  • There are numerous deep implants of endometriosis throughout the pelvic region.
  • There are extensive adhesions and scar tissue, resulting in organs being fused together.
  • Large endometriomas may be present on the ovaries, and other organs such as the bowel or bladder may be involved.
子宫内膜异位症的阶段

子宫内膜异位症的阶段(图片​​来源:施普林格自然瑞士AG,2022)

Descriptive Classifications of Endometriosis

In addition to the staging systems, endometriosis can also be described using descriptive classifications that provide more information about the characteristics and location of the lesions. These descriptive classifications help in understanding the extent and specific features of endometriosis. Here are some common descriptive classifications:

  • Superficial peritoneal endometriosis: This refers to the presence of endometriotic lesions on the peritoneum, which is the lining of the pelvic cavity. These lesions are typically shallow and superficial, and they may appear as small red or brown patches.
  • Deep infiltrating endometriosis (DIE): This classification refers to the presence of endometriosis lesions that penetrate deeply into the surrounding tissues beyond the peritoneum. DIE can involve structures such as the uterus, ovaries, fallopian tubes, bowel, bladder, and other pelvic organs. The depth of infiltration and involvement of different organs can vary.
  • Ovarian endometriomas: These are also known as chocolate cysts. They are cystic masses that form on the ovaries due to the accumulation of old blood from endometriosis lesions. Ovarian endometriomas can vary in size and may cause pain and discomfort.
  • Adenomyosis: Although not strictly classified as endometriosis, adenomyosis is a condition where endometrial tissue grows into the muscular wall of the uterus. It can cause symptoms such as heavy and painful periods, and it is often associated with endometriosis.
  • Extra-pelvic endometriosis: In some cases, endometriosis lesions can be found outside the pelvic region. They may occur in areas such as the abdominal wall, diaphragm, lungs, or other distant sites. This is referred to as extra-pelvic endometriosis.

It’s important to note that these descriptive classifications are used to complement the staging systems and provide a more detailed understanding of the characteristics and distribution of endometriosis.

Pankaj Singhal, MD, MS, MHCM

机器人手术外科医生大师

Pankaj Singhal 博士是全球公认的子宫内膜异位症外科医生,在腹腔镜切除手术方面拥有超过 25 年的专业知识,这使他能够充满信心地应对最具挑战性的子宫内膜异位症病例。 Pankaj 医生治疗患有多种子宫内膜异位症相关疾病的患者,从卵巢子宫内膜异位症到影响肠道和其他器官的严重深部浸润性子宫内膜异位症。

Pankaj 医生优先考虑微创手术并提供全面的个人护理。此外,他还是纽约妇科和子宫内膜异位症 (NYGE) 的所有者和创始人,并一生致力于倡导、尊重和治疗患有这种鲜为人知的疾病的女性。他是全美国少数完成超过 5,718 例机器人辅助妇科手术的外科医生之一。

Endometriosis Specialist in New York

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