Endometriosis cervix

S. N. Davydov et al. (1967), A. Ya. Berdichevsky (1967), the Bastion Kovalev (1968), B. I. Iron, L. M. Prokhorov (1971), D. Overton et al. (1960) and other authors convincingly showed the prevalence of this localization of endometriosis and pathogenetic role determinirovannykh interventions on the cervix. In addition, trauma during childbirth, abortion and other manipulations can facilitate the implantation of the pieces of the endometrium in the damaged tissue of the cervix.
Possible and embryonic Genesis of cervical endometriosis - from elements mullerova tubercle primary vaginal plates [Mondoulet S., 1954; S. Wolfe et al., 1961].
The growth of endometriosis in the cervix of the isthmus, and the blood - and lymphogenous distribution of particles endometrial after childbirth, abortion and other surgeries can also cause of endometriosis of the cervix.
Macroscopically endometriosis, cervical cancer is a knot, small cystic or in the form of strips of education of red or purple-blue color, visible before and during menstruation. In this period of individual lesions may be brown and dark spotting. At the end of the monthly endometriosis elements decrease in size, and their color fades.

Ectocervical endometriosis cervix
Fig. 11. Ectocervical endometriosis cervix

There are superficial (ectocervical, Fig. 11) and deep (endocervical) endometriosis cervix. In the last variation in the thickness of the cervix are cystic formations of various sizes (from a few millimeters to 2-3 cm in diameter), which can cause deformity of the cervix. In a cell or cells of these formations is thick brown liquid. Draining the link with the surface of the cervix and cervical canal is usually absent. During menstruation through the mucous membrane of the cervix in the location of endocervical lesions of endometriosis can be seen the pale-blue spots.
Of all localizations endometriosis cervix has a more favorable course. Typical complaints are pre - and post-menstrual brown or spotting spontaneous or contact character. Pain is observed only at atresia of the cervical canal and the presence of endometriosis of the isthmus of the uterus.
Communication allocations of the menstrual cycle, the data of examination of the cervix in mirrors, colposcopy and cervicoscopy allow for proper diagnosis. In doubtful cases is histology byobserving material. Ectocervical endometriosis, according to our data, poorly responds to hormone therapy. Better justified mechanical destruction of its foci with the subsequent imposition of fine ketotofin seams on a larger wound surface. Diathermo - surgical treatment, leading to disease progression. Maybe more promising will be cryosurgical treatment.
Other localization genital endometriosis (at the vulva and the fallopian tubes) have clinical and morphological features typical of this pathology.