Endometriosis in the differential diagnosis

(A) of uterine fibroids Uterus has increased to varying degrees, especially intramural uterine fibroids and uterine muscle adenoma difficult to distinguish between gynaecological examinations alone. But the history of uterine fibroids without dysmenorrhea and cyclical history of abdominal pain. (B) of chronic pelvic inflammatory disease Pelvic inflammatory disease in patients with chronic pain not only limited to the menstrual period, usually have pain and inflammation may arise repeatedly attack the history of effective anti-inflammatory treatment, but anti-inflammatory treatment of endometriosis is invalid. All the attention needed for the diagnosis of chronic pelvic inflammatory disease perishable Needless to treatment of symptoms, should consider the possibility of endometriosis. (C) malignant pelvic In addition to ovarian cancer in the uterus next to palpable and fixed solid mass, may also be within reach in the pelvic scattered in the transfer of nodules, thus easy to endometriosis mixed; rectal endometriosis in addition to blood in the stool, can still reach Lumps and easy misdiagnosed as cancer. However, cancer patients generally poor physical condition has developed rapidly, as persistent pain, has nothing to do with the menstrual cycle. Where the diagnosis is not clear, particularly of suspected malignant, early diagnosis laparotomy.