JOMPAC

Journal of Medicine and Palliative Care (JOMPAC) is an open access scientific journal with independent, unbiased, and double-blind review under international guidelines. The purpose of JOMPAC is to contribute to the literature by publishing articles on health sciences and medicine.

EndNote Style
Index
Original Article
Clinical predictors of postoperative recurrence in ovarian endometrioma: evaluation of follistatin expression
Aims: To evaluate clinical predictors of postoperative recurrence in ovarian endometrioma and to investigate the association between epithelial follistatin immunohistochemical expression and recurrence after surgery. Methods: This retrospective study included patients who underwent surgery for ovarian endometrioma between 2008 and 2013. Demographic, clinical, and surgical data and recurrence characteristics were analyzed. Follistatin expression in endometriotic glandular epithelial cells was assessed immunohistochemically using a binary scoring system (positive vs. negative). Factors associated with recurrence were evaluated statistically. Results: Fifty patients were included, and recurrence occurred in 24 (48%). Advanced-stage disease was significantly more common in patients with recurrence (66.7% vs. 30.8%, p=0.034), and previous endometriosis surgery was markedly higher in the recurrence group (50.0% vs. 3.8%, p


1. Giudice LC, Kao LC. Endometriosis. Lancet. 2004;364(9447):1789-1799. doi:10.1016/S0140-6736(04)17403-5
2. Eskenazi B, Warner ML. Epidemiology of endometriosis. Obstet Gynecol Clin North Am. 1997;24(2):235-258. doi:10.1016/s0889-8545(05)70302-8
3. Vercellini P, Somigliana E, Viganò P, Abbiati A, Barbara G, Crosignani PG. Surgery for endometriosis-associated infertility: a pragmatic approach. Hum Reprod. 2009;24(2):254-269. doi:10.1093/humrep/den379
4. Vercellini P, Somigliana E, Viganò P, De Matteis S, Barbara G, Fedele L. Post-operative endometriosis recurrence: a plea for prevention based on pathogenetic, epidemiological and clinical evidence. Reprod Biomed Online. 2010;21(2):259-265. doi:10.1016/j.rbmo.2010.04.018
5. Busacca M, Vignali M. Ovarian endometriosis: from pathogenesis to surgical treatment. Curr Opin Obstet Gynecol. 2003;15(4):321-326. doi: 10.1097/01.gco.0000084247.09900.4f
6. Guo SW. Recurrence of endometriosis and its control. Hum Reprod Update. 2009;15(4):441-461. doi:10.1093/humupd/dmp007
7. Fedele L, Bianchi S, Zanconato G, Berlanda N, Raffaelli R, Fontana E. Laparoscopic excision of recurrent endometriomas: long-term outcome and comparison with primary surgery. Fertil Steril. 2006;85(3):694-699. doi:10.1016/j.fertnstert.2005.08.028
8. Park JS, Lee JH, Kim M, Chang HJ, Hwang KJ, Chang KH. Endometrium from women with endometriosis shows increased proliferation activity. Fertil Steril. 2009;92(4):1246-1249. doi:10.1016/j.fertnstert.2009.04.025
9. Yalcin SE, Ocal I, Yalcin Y, et al. Evaluation of the Ki-67 Proliferation Index and urocortin expression in women with ovarian endometriomas. Eurasian J Med. 2017;49(2):107-112. doi:10.5152/eurasianjmed. 2017. 17070
10. Phillips DJ. Activins, inhibins and follistatins in the large domestic species. Domest Anim Endocrinol. 2005;28(1):1-16. doi:10.1016/j.domaniend.2004.05.006
11. Florio P, Reis FM, Torres PB, et al. High serum follistatin levels in women with ovarian endometriosis. Hum Reprod. 2009;24(10):2600-2606. doi:10.1093/humrep/dep195
12. Parazzini F, Bertulessi C, Pasini A, et al. Determinants of short term recurrence rate of endometriosis. Eur J Obstet Gynecol Reprod Biol. 2005;121(2):216-219. doi:10.1016/j.ejogrb.2004.11.033
13. Busacca M, Marana R, Caruana P, et al. Recurrence of ovarian endometrioma after laparoscopic excision. Am J Obstet Gynecol. 1999; 180(3 Pt 1):519-523. doi:10.1016/s0002-9378(99)70247-4
14. Bloise E, Couto HL, Massai L, et al. Differential expression of follistatin and FLRG in human breast proliferative disorders. BMC Cancer. 2009;9: 320. doi:10.1186/1471-2407-9-320
15. Rombauts L, Donoghue J, Cann L, Jones RL, Healy DL. Activin-A secretion is increased in the eutopic endometrium from women with endometriosis. Aust N Z J Obstet Gynaecol. 2006;46(2):148-153. doi:10. 1111/j.1479-828X.2006.00546.x
16. Ren P, Chen FF, Liu HY, et al. High serum levels of follistatin in patients with ovarian cancer. J Int Med Res. 2012;40(3):877-886. doi:10.1177/ 147323001204000306
17. Reis FM, Luisi S, Abrão MS, et al. Diagnostic value of serum activin A and follistatin levels in women with peritoneal, ovarian and deep infiltrating endometriosis. Hum Reprod. 2012;27(5):1445-1450. doi:10. 1093/humrep/des055
Volume 7, Issue 2, 2026
Page : 381-385
_Footer