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A total of 304 patients underwent laparoscopic surgery for complete removal of endometriosis by one experienced surgeon, and histological confirmation of OEM associated with DIE was conducted for each patient. Clinical data were recorded for each patient from medical, operative and pathological reports. Patients were then divided into two groups according to unilateral or bilateral OEM. Patients with unilateral OEM were subsequently divided into two subgroups according to OEM location (left- or right-hand side) and the diameter of the OEM (\u226450 and\u2009&gt;\u200950\u2009mm). The distribution characteristics of DIE lesions were then compared between the groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      DIE lesions were widely distributed, 30 anatomical sites were involved. Patients with associated unilateral OEM (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009184 patients) had a significantly increased number of DIE lesions when compared with patients with bilateral OEM (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009120 patients; 2.76\u2009\u00b1\u20091.52 vs. 2.33\u2009\u00b1\u20091.34;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.006). Compared with bilateral OEM with DIE, there was a higher rate of intestinal (39.1% vs. 18.3%;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.01) and vaginal (17.4% vs. 6.7%;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.01) infiltration by DIE lesions in unilateral OEM with DIE. The mean number of DIE lesions was not significantly correlated with the location or size of the OEM (2.83\u2009\u00b1\u20091.56 vs. 2.74\u2009\u00b1\u20091.53;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.678; and 2.65\u2009\u00b1\u20091.42 vs. 2.80\u2009\u00b1\u20091.43;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.518, respectively). There was no significant difference between the groups with OEM \u226450\u2009mm and\u2009&gt;\u200950\u2009mm.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Lesion distribution characteristics in women diagnosed with histologically proven OEM associated with DIE were frequently multifocal and severe.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12905-020-00974-y","type":"journal-article","created":{"date-parts":[[2020,5,20]],"date-time":"2020-05-20T08:03:04Z","timestamp":1589961784000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Lesion distribution characteristics of deep infiltrating endometriosis with ovarian endometrioma: an observational clinical study"],"prefix":"10.1186","volume":"20","author":[{"given":"Hungling","family":"Kwok","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongye","family":"Jiang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tian","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huan","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Fei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Cheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuzhong","family":"Yao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuqin","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,5,20]]},"reference":[{"issue":"5","key":"974_CR1","doi-asserted-by":"publisher","first-page":"261","DOI":"10.1038\/nrendo.2013.255","volume":"10","author":"P Vercellini","year":"2014","unstructured":"Vercellini P, et al. 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