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Fertil Steril. 1991 Dec;56(6):1198-200.

Reliability of the visual diagnosis of ovarian endometriosis.

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  • 1Department of Obstetrics and Gynecology, L. Mangiagalli, University of Milano School of Medicine, Italy.


The visual diagnosis of endometrioma at laparotomy in 245 women operated on for ovarian cysts demonstrated a sensitivity of 97%, specificity of 95%, positive and negative predictive value of 98% and 94%, respectively, and overall accuracy of 96%. Because the visual detection of endometriomas is remarkably accurate, ovarian biopsy, although desirable in some cases, would seem dispensable for a correct laparoscopic diagnosis and staging of the disease.

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