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Ignored Because It Is Benign – It Is Time to Treat Endometriosis as if It Were Cancer

  • Mathew Leonardi
    Correspondence
    Corresponding author: Dr. Mathew Leonardi, Acute Gynaecology, Early Pregnancy and Advanced Endosurgery Unit, Sydney Medical School Nepean, University of Sydney
    Affiliations
    Acute Gynaecology, Early Pregnancy and Advanced Endoscopy Surgery Unit, Nepean Hospital, Penrith, Australia

    Nepean Clinical School, University of Sydney, Sydney, Australia

    North Shore Multi-disciplinary Endometriosis Research and Clinical Care Group, Royal North Shore Hospital, St. Leonards, Australia
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  • Alan Lam
    Affiliations
    North Shore Multi-disciplinary Endometriosis Research and Clinical Care Group, Royal North Shore Hospital, St. Leonards, Australia

    Centre for Advanced Reproductive Endosurgery, St. Leonards, Australia
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  • Mauricio S. Abrão
    Affiliations
    Gynecology Department, Hospital BP – A Beneficiencia Portuguesa de São Paulo, São Paulo, Brazil

    Endometriosis Section, Hospital das Clinicas HCFMUSP, Faculty of Medicine, University of São Paulo, São Paulo, Brazil
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  • Neil P. Johnson
    Affiliations
    Robinson Research Institute, University of Adelaide, Adelaide, Australia

    Department of Obstetrics and Gynaecology, University of Auckland, New Zealand

    Auckland Gynaecology Group and Repromed Auckland, Auckland, New Zealand
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  • George Condous
    Affiliations
    Acute Gynaecology, Early Pregnancy and Advanced Endoscopy Surgery Unit, Nepean Hospital, Penrith, Australia

    Nepean Clinical School, University of Sydney, Sydney, Australia

    North Shore Multi-disciplinary Endometriosis Research and Clinical Care Group, Royal North Shore Hospital, St. Leonards, Australia

    OMNI Ultrasound and Gynaecological Care, St. Leonards, Australia
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Published:January 28, 2020DOI:https://doi.org/10.1016/j.jogc.2019.12.014

      Abstract

      We are proposing a shift in mindset in the field of endometriosis, whereby care for patients with endometriosis mirrors that of patients with gynaecological cancer. To achieve this, we advocate for the recognition of complex benign gynaecology as a subspecialty. Since the establishment of gynaecological oncology as a subspecialty, outcomes for patients with ovarian cancer have improved, with their care managed by multidisciplinary teams in specialized units. Despite the marked difference in the primary treatment goal between these two conditions, they share common diagnostic and therapeutic challenges. We believe that care management by a multidisciplinary team of dedicated and specialized health care professionals will lead to improved outcomes, including improved quality of life, for people living with endometriosis.

      Résumé

      Nous proposons un nouveau point de vue dans le domaine de l'endométriose de telle sorte que la prestation de soins aux patientes atteintes reflète les soins prodigués aux patientes atteintes d'un cancer gynécologique. Pour ce faire, nous préconisons la reconnaissance de la gynécologie des affections bénignes complexes comme surspécialisation. Depuis l’établissement de la gynécologie oncologique en tant que surspécialisation, les issues se sont améliorées chez les patientes atteintes du cancer de l'ovaire prises en charge par des équipes multidisciplinaires dans des unités spécialisées. Malgré la différence marquée dans l'objectif de traitement primaire entre ces deux affections, elles présentent des défis diagnostiques et thérapeutiques communs. Nous croyons que la prise en charge thérapeutique par une équipe multidisciplinaire de professionnels de la santé spécialisés et dévoués conduit à une amélioration des résultats cliniques, y compris une meilleure qualité de vie, pour les personnes vivant avec l'endométriose.

      Key Words

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