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CHICAGO -- Gynecologic surgeons performing laparoscopy to confirm or exclude a diagnosis of endometriosis should excise lesions or at least biopsy them before ablation, according to Dr. Andrew Walter.
Traditional laparoscopic means of investigating the cause of chronic pelvic pain are far from perfect. There can be a significant discrepancy between what is seen through a laparoscope and what is confirmed histologically, he said at the annual meeting of the Central Association of Obstetricians and Gynecologists.
In a study of 44 women who underwent laparoscopic evaluation with biopsy of all abnormal-appearing lesions, the positive predictive value was 45%, said Dr. Walter of the Mayo Clinic in Scottsdale, Ariz.
In addition, 36% of the patients had their American ...
Source: HighBeam Research, Biopsy to Confirm Endometriosis Before Ablation.