DOI
https://doi.org/10.47689/2181-1415-vol2-iss2-pp264-270Keywords
the occurrence of endometriosis , ovarian endometriosis , adenomyosis , clinical and morphological variants , Reproductive ageAbstract
The frequency of occurrence and morphological forms of the endometrioid disease in 148 women of reproductive age were studied at the Bukhara pathoanatomical bureau sent from the republican emergency center to the department gynecology of the Bukhara branch. The material for the study was operating materials. Histological preparations were examined under a light microscope, and the critical areas were photographed.
Morphometric studies of adenomyosis and endometriosis tissue were studied under a Leyka microscope using Avtandilov's grid, the ratio of parenchyma and glandular components. According to the study results, the following changes were identified: histologically, both in the myometrium and in the ovaries, endometrioid foci were determined, which penetrated to different depths. The lesions had two components: stromal and glandular structures. The ratio of these components varied depending on the type of these nodes.
An endometrioid ovarian cyst was found in 49 patients, retrocervical endometriosis in 24 women, uterine adenomyosis in 15, and a combination of various localization of endometrioid lesions in 60 patients.
Thus, аnalysis of the results of morphological studies of micro preparations of different histological variants of endometrioid disease demonstrates a significant degree of uneven distribution of tissue components and structures in different observation cases. Various forms of adenomyosis and endometriosis must be considered when choosing rational tactics for managing patients in the postoperative period to prevent relapse. Endometriosis of the uterus and ovary is characterized by a long asymptomatic or oligosymptomatic course followed by the rapid development of the clinical picture and the appearance of indications for surgical treatment. In this case, the main indications are pain syndrome (100%) combined with hypermenstrual syndrome (55.7%), accompanied by rapid growth in every second patient, and anemia in every third patient.
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