A 35-year-old woman undergoes diagnostic laparoscopy for chronic pelvic pain. Multiple superficial peritoneal endometriotic implants are seen on the pelvic peritoneum without ovarian endometrioma or adhesions. According to the revised ASRM classification, what stage of endometriosis does this represent?

• A Stage 0
• B Stage III (moderate)
• C Stage II (mild)
• D Stage I (minimal) ✓

Explanation

The revised ASRM classification scores peritoneal implants, ovarian endometrioma, and adhesions separately. Superficial peritoneal implants without endometrioma or adhesions score 1 to 5 points, corresponding to Stage I (minimal). Stage II (mild) requires 6 to 15 points. The staging is based on cumulative point totals, not implant count alone.

Reference: Robbins and Cotran Pathologic Basis of Disease, 10th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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