Bassi Marco Antonio, Podgaec Sérgio, Dias Júnior João Antonio, Sobrado Carlos Walter, D Amico Filho Nicolau
Departamento de Obstetrícia e Ginecologia, FM, USP.
Rev Assoc Med Bras (1992). 2009 Sep-Oct;55(5):611-6. doi: 10.1590/s0104-42302009000500029.
Endometriosis is generally assumed to be a benign disease, but it is estimated that 1% of cases are associated with cancer, especially when both conditions are present in the ovary. Extra-ovarian lesions in the rectovaginal septum, colon, bladder, vagina and peritoneum were already associated with malign neoplasia. Several characteristics of endometrial tissue are very similar to the neoplasia phenotype. Endometriosis itself typically behaves as a neoplasia process, spreading over adjacent stroma and being associated with distant lesions. This is an update on the diagnostic, clinical, and therapeutic knowledge of, management of bowel implants of endometrial tissue, as well as the relation with neoplastic processes to better understand its benign nature or eventual potential for malignancy.
子宫内膜异位症通常被认为是一种良性疾病，但据估计，1%的病例与癌症有关，尤其是当卵巢同时存在这两种情况时。直肠阴道隔、结肠、膀胱、阴道和腹膜的卵巢外病变已经与恶性肿瘤相关。子宫内膜组织的几个特征与肿瘤表型非常相似。子宫内膜异位症本身通常表现为肿瘤形成过程，扩散到相邻的基质并与远处病变相关。这是关于子宫内膜组织肠道植入物的诊断、临床和治疗知识以及与肿瘤形成过程的关系的最新情况，以便更好地理解其良性本质或最终的恶性潜能。
