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Institute of the Mid-South )Tj 10.0879 0 0 10.0879 7.8061 725.8006 Tm (Research and Education in Reproductive Endocrinology and Surgery)Tj 0 0 0 rg /TT0 1 Tf 10.9286 0 0 10.9286 304.0766 697.3807 Tm ( )Tj ET q 109.2857208 0 0 35.9081573 7.8061218 643.6737823 cm /Im0 Do Q BT /TT0 1 Tf 10.9286 0 0 10.9286 117.0918 643.6738 Tm ( )Tj ET q 109.2857208 0 0 35.9081573 7.8061218 607.765625 cm /Im1 Do Q BT /TT0 1 Tf 10.9286 0 0 10.9286 117.0918 607.7656 Tm ( )Tj ET q 109.2857208 0 0 35.9081573 7.8061218 571.8574524 cm /Im2 Do Q BT /TT0 1 Tf 10.9286 0 0 10.9286 117.0918 571.8575 Tm ( )Tj ET q 109.2857208 0 0 35.9081573 7.8061218 535.949295 cm /Im3 Do Q BT /TT0 1 Tf 10.9286 0 0 10.9286 117.0918 535.9493 Tm ( )Tj ET q 109.2857208 0 0 35.9081573 7.8061218 500.0411377 cm /Im4 Do Q BT /TT0 1 Tf 10.9286 0 0 10.9286 117.0918 500.0411 Tm ( )Tj ET q 109.2857208 0 0 35.9081573 7.8061218 464.1329651 cm /Im5 Do Q BT /TT0 1 Tf 10.9286 0 0 10.9286 117.0918 464.133 Tm ( )Tj ET q 109.2857208 0 0 35.9081573 7.8061218 428.2248077 cm /Im6 Do Q BT /TT0 1 Tf 10.9286 0 0 10.9286 117.0918 428.2248 Tm ( )Tj ET q 109.2857208 0 0 35.9081573 7.8061218 392.3166351 cm /Im7 Do Q BT /TT0 1 Tf 10.9286 0 0 10.9286 117.0918 392.3166 Tm ( )Tj ET q 109.2857208 0 0 35.9081573 7.8061218 356.4084778 cm /Im8 Do Q BT /TT0 1 Tf 10.9286 0 0 10.9286 117.0918 356.4085 Tm ( )Tj ET q 109.2857208 0 0 35.9081573 7.8061218 320.5003204 cm /Im9 Do Q BT /TT0 1 Tf 10.9286 0 0 10.9286 117.0918 320.5003 Tm ( )Tj ET q 109.2857208 0 0 35.9081573 7.8061218 284.5921478 cm /Im10 Do Q BT /TT0 1 Tf 10.9286 0 0 10.9286 117.0918 284.5921 Tm ( )Tj ET q 109.2857208 0 0 35.9081573 7.8061218 248.6839905 cm /Im11 Do Q BT /TT0 1 Tf 10.9286 0 0 10.9286 117.0918 248.684 Tm ( )Tj ET q 109.2857208 0 0 35.9081573 7.8061218 212.7758179 cm /Im12 Do Q BT /TT0 1 Tf 10.9286 0 0 10.9286 117.0918 212.7758 Tm ( )Tj ET q 109.2857208 0 0 35.9081573 7.8061218 176.8676605 cm /Im13 Do Q BT /TT0 1 Tf 10.9286 0 0 10.9286 117.0918 176.8677 Tm ( )Tj ET q 109.2857208 0 0 35.9081573 7.8061218 140.9595032 cm /Im14 Do Q BT /TT0 1 Tf 10.9286 0 0 10.9286 117.0918 140.9595 Tm ( )Tj /T1_2 1 Tf 15.1319 0 0 15.1319 356.1977 666.3232 Tm ( )Tj 0.502 0 0 rg /TT1 1 Tf 19.3352 0 0 19.3352 253.0114 630.5687 Tm (Endometriosis Staging)Tj ET q 468.3673401 0 0 7.8061218 135.8265381 600.752121 cm /Im15 Do Q 0 0 0 rg BT /TT0 1 Tf 10.9286 0 0 10.9286 135.8265 575.7733 Tm ( )Tj /TT2 1 Tf 4.286 -2.495 Td (Endometriosis staging and definition has undergone significant change si\ nce )Tj 0 -1.2 TD (the first classification in 1917. The page is progress to summarize the\ findings )Tj T* (of some of those systems.)Tj 0.502 0 0 rg /TT3 1 Tf 0 -2.56 TD (Lockyer 1917)Tj 0 0 0 rg /TT2 1 Tf 1.071 -2.554 Td (Cuthbert Lockyer of Samaritan Hospital for Women and Charing Cross )Tj 0 -1.203 TD (Hospital, UK, published )Tj /TT3 1 Tf (A New Classification of Adenomyoma)Tj /TT2 1 Tf ( In his )Tj 0 -1.203 TD (book ")Tj /TT4 1 Tf (Fibroids and Allied Tumors)Tj /TT2 1 Tf (" in 1918. This was a classification of the )Tj 0 -1.2 TD (anatomic location of adenomyomas \(endometriosis\).)Tj 0.502 0 0 rg /TT3 1 Tf -1.071 -2.56 Td (Acosta 1973)Tj 0 0 0 rg /TT2 1 Tf 1.071 -2.557 Td (Acosta, Buttram, Besch, Malinak, Franklin and Vanderheyden published )Tj /TT3 1 Tf (A )Tj 0 -1.203 TD (Proposed Classification of Pelvic Endometriosis)Tj /TT2 1 Tf ( in )Tj /TT4 1 Tf (Obstetrics )Tj 0 -1.203 TD (and Gynecology)Tj /TT2 1 Tf (, Volume 42, pages 19 to 25, 1973.)Tj 0.502 0 0 rg /TT3 1 Tf -1.071 -2.56 Td (AFS 1979)Tj 0 0 0 rg /TT2 1 Tf 1.071 -2.557 Td (The original )Tj /TT3 1 Tf (American Fertility Society Classification of Endometriosis)Tj /TT2 1 Tf ( )Tj 0 -1.203 TD (is in )Tj /TT4 1 Tf (Fertility and Sterility)Tj /TT3 1 Tf ( )Tj /TT2 1 Tf (Volume 32, pages 633 to 634, 1979.)Tj 0.502 0 0 rg /TT3 1 Tf -1.071 -2.56 Td (rAFS 1985)Tj 0 0 0 rg /TT2 1 Tf 1.071 -2.557 Td (The )Tj /TT3 1 Tf (Revised American Fertility Society Classification of Endometriosis)Tj /TT2 1 Tf ( )Tj 0 -1.203 TD (is in )Tj /TT4 1 Tf (Fertility and Sterility)Tj /TT2 1 Tf ( Volume 43, pages 351 to 352, 1985.)Tj 0.502 0 0 rg /TT3 1 Tf -1.071 -2.56 Td (Batt 1989)Tj 0 0 0 rg /TT2 1 Tf 1.071 -2.554 Td (Ronald Batt published a grading system to address the level of certainty\ of )Tj 0 -1.2 TD (the histological diagnosis of endometriosis in 1989 . This seeks to est\ ablish )Tj T* (a difference between a diagnosis based on possible findings and those wi\ th )Tj T* (definitive findings. This was revised in a 2003 article in the Journal \ of )Tj T* (Pediatric and Adolescent Gynecology.)Tj 1.071 -2.557 Td (Batt Grade 1: possible residua of resorbed endometriosis, i.e., )Tj T* (hemosiderin, calcium, nerve, blood vessels, and smooth muscle.)Tj ET EMC /Artifact <>BDC Q 0 0 0 rg BT /T1_0 1 Tf 7.0255 0 0 7.0255 18 8.6684 Tm (http://www.memfert.com/endostage.htm \(1 of 4\)20.8.2007 14:54:55)Tj ET EMC endstream endobj 208 0 obj<>stream /Artifact <>BDC 0 0 0 rg 0 i BT /T1_0 1 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 7.0255 0 0 7.0255 18 781.6684 Tm (Endometriosis Staging)Tj ET EMC /WebCaptureBG BMC /WebCaptureFN <>BDC q 0 18 612 756 re W* n /Artifact <>BDC Q /CS0 cs /P0 scn 7.806 18 604.194 756 re f EMC EMC EMC /Article <>BDC q 0 18 612 756 re W* n 0 0 0 rg BT /TT0 1 Tf 10.9286 0 0 10.9286 206.0816 758.287 Tm (Batt Grade 2: consistent with endometriosis, i.e., hemosiderin, )Tj 0 -1.2 TD (characteristic glands, or stroma.)Tj 0 -2.557 TD (Batt Grade 3: definite endometriosis, i.e., characteristic glands and st\ roma )Tj 0 -1.2 TD (with hemosiderin.)Tj 0 -2.557 TD (Batt Grade 4: grade 3 with structures conveying an organoid pattern, i.e\ ., )Tj 0 -1.2 TD (glandular-stromal layer overlying well-developed smooth muscle layer. )Tj T* (This has a grossly identified structure suggesting a small uterus.)Tj -1.071 -2.56 Td (Batt RE, Smith RA, Buck GM, et al: )Tj /TT1 1 Tf (A case series -- peritoneal pockets )Tj 0 -1.203 TD (and endometriosis: rudimentary duplications of the Mullerian system)Tj /TT0 1 Tf (. )Tj /TT2 1 Tf 0 -1.203 TD (Adolesc Pediatr Gynecol)Tj /TT0 1 Tf ( 2:47, 1989)Tj 0 -2.56 TD (Batt R, Mitwally MF. )Tj /TT1 1 Tf (Endometriosis from thelarche to midteens: )Tj 0 -1.203 TD (pathogenesis and prognosis, prevention and pedagogy)Tj /TT0 1 Tf (. )Tj ET 0.502 0 0.502 RG 0.525 w 10 M 0 j 0 J []0 d 450.626 552.953 m 531.06 552.953 l S 0.502 0 0.502 rg BT /TT2 1 Tf 10.9286 0 0 10.9286 450.6256 554.527 Tm (J Pediatr Adolesc )Tj ET 194.372 538.278 m 230.786 538.278 l S BT /TT2 1 Tf 10.9286 0 0 10.9286 194.3725 539.8515 Tm (Gynecol)Tj 0 0 0 rg /TT0 1 Tf ( 16:333-347, 2003. The 2003 paper can be purchased from )Tj ET 492.712 538.278 m 531.257 538.278 l S 0.502 0 0.502 rg BT /TT0 1 Tf 10.9286 0 0 10.9286 492.7115 539.8515 Tm (Elsevier )Tj ET 194.372 523.602 m 258.403 523.602 l S BT /TT0 1 Tf 10.9286 0 0 10.9286 194.3725 525.176 Tm (Science Direct)Tj 0 0 0 rg (.)Tj 0.502 0 0 rg /TT1 1 Tf -1.071 -2.703 Td (Adamyan 1993)Tj ET q 74.9387817 0 0 78.0612183 455.0969391 397.5686035 cm /Im0 Do Q 0 0.8 0 RG 1.561 w 454.316 396.788 76.5 79.622 re S 0 0 0 rg BT /TT0 1 Tf 10.9286 0 0 10.9286 194.3725 467.7229 Tm (Leila Adamyan published a classification of retrocervical )Tj 0 -1.2 TD (endometriosis in Obstetric and Gynecologic Surgery )Tj T* (edited by David Nichols in 1993. This classified )Tj T* (endometriosis according to the extent of disease in the )Tj T* (retrocervical area. This are is also called the rectovaginal )Tj T* (Pouch of Douglas and the posterior cul-de-sac.)Tj 1.071 -2.557 Td (Adamyan Stage I: Endometriotic lesions are confined to the rectovaginal \ )Tj T* (cellular tissue in the area of the vaginal vault.)Tj 0 -2.557 TD (Adamyan Stage II: Endometriotic tissue invades the cervix and penetrates\ )Tj 0 -1.2 TD (the vaginal wall, causing fibrosis and small cyst formation.)Tj 0 -2.557 TD (Adamyan Stage Ill: Lesions spread into the sacrouterine ligaments and th\ e )Tj 0 -1.2 TD (rectal serosa.)Tj 0 -2.557 TD (Adamyan Stage IV: The rectal wall, rectosigmoid zone, and rectouterine )Tj 0 -1.2 TD (peritoneum are completely involved, and the rectouterine pouch is totall\ y )Tj T* (obliterated.)Tj -1.071 -2.56 Td (Adamyan L. )Tj /TT1 1 Tf (Additional international perspectives.)Tj /TT0 1 Tf ( In: Nichols DH, ed. )Tj /TT2 1 Tf 0 -1.203 TD (Gynecologic and Obstetric Surgery)Tj /TT0 1 Tf (. St. Louis: Mosby Year Book, )Tj 0 -1.2 TD (pages1167-1182, 1993)Tj 0 -2.557 TD (The Adamyan Classification was the basis for:)Tj ET 0.502 0 0.502 RG 0.525 w 206.082 127.921 m 409.746 127.921 l S 0.502 0 0.502 rg BT /TT0 1 Tf 10.9286 0 0 10.9286 206.0816 129.4946 Tm (Retrocervical and Rectovaginal Endometriosis)Tj ET 206.082 113.245 m 397.026 113.245 l S BT /TT0 1 Tf 10.9286 0 0 10.9286 206.0816 114.8191 Tm (Distribution of Rectovaginal Endometriosis)Tj 0 0 0 rg 0 -1.343 TD (and contributed to other presentation at:)Tj ET 206.082 85.456 m 383.671 85.456 l S 0.502 0 0.502 rg BT /TT0 1 Tf 10.9286 0 0 10.9286 206.0816 87.0293 Tm (http://www.danmartinmd.com/news.htm)Tj 0.502 0 0 rg /TT1 1 Tf -2.143 -2.703 Td (rASRM 1996)Tj ET EMC /Artifact <>BDC Q 0 0 0 rg BT /T1_0 1 Tf 7.0255 0 0 7.0255 18 8.6684 Tm (http://www.memfert.com/endostage.htm \(2 of 4\)20.8.2007 14:54:55)Tj ET EMC endstream endobj 209 0 obj<>stream /Artifact <>BDC 0 0 0 rg 0 i BT /T1_0 1 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 7.0255 0 0 7.0255 18 781.6684 Tm (Endometriosis Staging)Tj ET EMC /WebCaptureBG BMC /WebCaptureFN <>BDC q 0 18 612 756 re W* n /Artifact <>BDC Q /CS0 cs /P0 scn 7.806 18 604.194 756 re f EMC EMC EMC /Article <>BDC q 0 18 612 756 re W* n 0 0 0 rg BT /TT0 1 Tf 10.9286 0 0 10.9286 194.3725 758.287 Tm (The )Tj ET 0.502 0 0.502 RG 0.525 w 10 M 0 j 0 J []0 d 214.099 756.713 m 526.721 756.713 l S 0.502 0 0.502 rg BT /TT0 1 Tf 10.9286 0 0 10.9286 214.0985 758.287 Tm (Revised American Society for Reproductive Medicine classification of )Tj ET 194.372 742.038 m 255.693 742.038 l S BT /TT0 1 Tf 10.9286 0 0 10.9286 194.3725 743.6115 Tm (endometriosis)Tj ET 255.693 742.038 m 283.32 742.038 l S BT /TT0 1 Tf 10.9286 0 0 10.9286 255.6927 743.6115 Tm (: 1996)Tj 0 0 0 rg ( is in )Tj ET 307.308 742.038 m 398.999 742.038 l S 0.502 0 0.502 rg BT /TT0 1 Tf 10.9286 0 0 10.9286 307.3083 743.6115 Tm (Fertility and Sterility)Tj 0 0 0 rg ( Volume 67, pages 817 to )Tj -10.334 -1.343 Td (821, 1996. The classification pages are at )Tj ET 380.726 727.362 m 440.834 727.362 l S 0.502 0 0.502 rg BT /TT0 1 Tf 10.9286 0 0 10.9286 380.7265 728.936 Tm (Classification)Tj 0 0 0 rg (. The complete )Tj -17.052 -1.343 Td (article can be purchased from )Tj ET 326.379 712.687 m 428.954 712.687 l S 0.502 0 0.502 rg BT /TT0 1 Tf 10.9286 0 0 10.9286 326.3787 714.2605 Tm (Elsevier Science Direct)Tj 0 0 0 rg (.)Tj -12.079 -2.7 Td (This republication of the Revised American Fertility Society classifica\ tion )Tj 0 -1.2 TD (of endometriosis: 1985 \(rAFS\) was after the organization changed it's \ name. )Tj T* (Although the 1985 version did not produce a dose-response relationship, \ the )Tj T* (1996 version did not make arbitrary changes in rAFS, which provides a )Tj T* (means of clearly documenting extent and location of disease. The 1996 )Tj T* (version adds instruction and illustrations. 5 of the 8 illustrations ar\ e from )Tj T* (Dr. Martin \(this site\) and 4 are found in the Laparoscopic Appearance \ of )Tj T* (Endometriosis Color Atlas, 1990. This is in a low resolutionPDF at )Tj ET 493.706 591.38 m 521.333 591.38 l S 0.502 0 0.502 rg BT /TT0 1 Tf 10.9286 0 0 10.9286 493.706 592.9533 Tm (Color )Tj ET 194.372 576.704 m 266.009 576.704 l S BT /TT0 1 Tf 10.9286 0 0 10.9286 194.3725 578.2778 Tm (Atlas LAE 1990)Tj 0 0 0 rg (.)Tj 0.502 0 0 rg /TT1 1 Tf -1.071 -2.703 Td (Chapron 2003)Tj 0 0 0 rg /TT0 1 Tf 1.071 -2.554 Td (Professor Charles Chapron is at the Service de Chirurgie Gyne\302cologiq\ ue, )Tj T* (Clinique Universitaire Baudelocque, 123, Boulevard Port-Royal, CHU )Tj T* (Cochin\261Saint Vincent de Paul, 75014 Paris, France. Professor Chapron\ )Tj T* (published )Tj ET 239.606 479.908 m 514.022 479.908 l S 0.502 0 0.502 rg BT /TT0 1 Tf 10.9286 0 0 10.9286 239.6058 481.4819 Tm (Anatomical Distribution of Deeply Infiltrating Endometriosis: )Tj ET 194.372 465.233 m 445.719 465.233 l S BT /TT0 1 Tf 10.9286 0 0 10.9286 194.3725 466.8064 Tm (Surgical Implications and Proposition for a Classification)Tj 0 0 0 rg ( in )Tj ET 459.685 465.233 m 494.591 465.233 l S 0.502 0 0.502 rg BT /TT0 1 Tf 10.9286 0 0 10.9286 459.6854 466.8064 Tm (Human )Tj ET 194.372 450.557 m 253.868 450.557 l S BT /TT0 1 Tf 10.9286 0 0 10.9286 194.3725 452.1309 Tm (Reproduction)Tj 0 0 0 rg ( Volume 18 pages 157 to 161, 2003. This classification is )Tj 0 -1.343 TD (particularly concerned with deeply infiltrating endometriosis \(DIE\) as\ cause )Tj 0 -1.2 TD (of pain.)Tj 0.502 0 0 rg /TT1 1 Tf -1.071 -2.56 Td (Martin 2006)Tj 0 0 0 rg /TT0 1 Tf 1.071 -2.554 Td (Dr. Dan Martin proposed preliminary considerations for 2 grading system\ )Tj T* (to address the level of certainty of the laparoscopic diagnosis of )Tj T* (endometriosis, similar to Batt above, is needed. [)Tj ET 0.502 0 0 RG 410.802 340.647 m 466.363 340.647 l S 0.502 0 0 rg BT /TT0 1 Tf 10.9286 0 0 10.9286 410.8019 342.2207 Tm (ASRM 2006)Tj 0 0 0 rg (] [)Tj ET 481.838 340.647 m 516.448 340.647 l S 0.502 0 0 rg BT /TT0 1 Tf 10.9286 0 0 10.9286 481.8376 342.2207 Tm (PDF of )Tj ET 194.372 325.971 m 221.694 325.971 l S BT /TT0 1 Tf 10.9286 0 0 10.9286 194.3725 327.5452 Tm (Poster)Tj 0 0 0 rg (] )Tj 0 -2.7 TD (The following include recent revisions to the suggestions on the poster:\ )Tj 0 -2.557 TD (Laparoscopic Grades of Certainty \(4 Grades\) )Tj 1.071 -2.557 Td (Grade 1: Possible endometriosis - Peritoneal vesicles, red polyps, yello\ w )Tj 0 -1.2 TD (polyps, hypervascularity, scar, adhesions. )Tj 8.4066 0 0 8.4066 390.6215 229.0319 Tm ( )Tj -21.952 -1.2 Td ( )Tj 10.9286 0 0 10.9286 206.0816 207.511 Tm (Grade 2: Suggestive of endometriosis - Chocolate cyst with free flow of \ )Tj T* (chocolate fluid. )Tj 8.4066 0 0 8.4066 206.0816 184.3081 Tm ( )Tj 10.9286 0 0 10.9286 206.0816 172.8759 Tm (Grade 3: Consistent with endometriosis - Dark scarred \(puckered )Tj T* (pigmented or mixed color\) lesions, red lesion on fibrous scarred )Tj T* (background, chocolate cyst with mottled red and dark areas on white )Tj T* (background. )Tj 8.4066 0 0 8.4066 206.0816 123.4443 Tm ( )Tj 10.9286 0 0 10.9286 206.0816 112.0121 Tm (Grade 4: Endometriosis - Dark, scarred \(or puckered, pigmented\) lesion\ s )Tj T* (at first surgery. )Tj -1.071 -2.557 Td (Laparoscopic Grades of Certainty \(Simpler version\) )Tj 1.071 -2.557 Td (Probable Endometriosis - A peritoneal, retroperitoneal, diaphragmatic or\ )Tj ET EMC /Artifact <>BDC Q 0 0 0 rg BT /T1_0 1 Tf 7.0255 0 0 7.0255 18 8.6684 Tm (http://www.memfert.com/endostage.htm \(3 of 4\)20.8.2007 14:54:55)Tj ET EMC endstream endobj 210 0 obj<> endobj 211 0 obj<>stream /Artifact <>BDC 0 0 0 rg 0 i BT /T1_0 1 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 7.0255 0 0 7.0255 18 781.6684 Tm (Endometriosis Staging)Tj ET EMC /WebCaptureBG BMC /WebCaptureFN <>BDC q 0 18 612 756 re W* n /Artifact <>BDC Q /CS0 cs /P0 scn 7.806 18 604.194 756 re f EMC EMC EMC /Article <>BDC q 0 18 612 756 re W* n 0 0 0 rg BT /TT0 1 Tf 10.9286 0 0 10.9286 206.0816 758.287 Tm (other red or dark lesion associated with a white, scarred perimeter or a\ )Tj 0 -1.2 TD (chocolate cyst with mottled red and dark areas on white background. )Tj 8.4066 0 0 8.4066 509.5899 745.1727 Tm ( )Tj -36.104 -1.2 Td ( )Tj 10.9286 0 0 10.9286 206.0816 723.6518 Tm (Abnormal Peritoneal Lesion - Any peritoneal, retroperitoneal, ovarian, )Tj T* (diaphragmatic, scar or other abnormality not classified as \223Probable \ )Tj T* (Endometriosis.\224)Tj -1.071 -2.557 Td (DC Martin. Applying STARD criteria to the laparoscopic identification o\ f )Tj T* (endometriosis. \(abstract\). Fertil Steril 86 \(supplement 2\): s270, 2\ 006)Tj ET q 468.3673401 0 0 7.8061218 135.8265381 630.0791168 cm /Im0 Do Q BT /T1_1 1 Tf 10.0879 0 0 10.0879 7.8061 606.4083 Tm ( )Tj 0 -2.67 TD (Send questions or comments to )Tj ET 0.502 0 0 RG 0.847 w 10 M 0 j 0 J []0 d 164.199 576.929 m 218.573 576.929 l S 0.502 0 0 rg BT /T1_1 1 Tf 10.0879 0 0 10.0879 164.199 579.4712 Tm (Webmaster)Tj 0 0 0 rg (. )Tj -15.503 -1.355 Td (Copyright \251 2000 - 2006 Fertility Institute of the Mid-South, )Tj /T1_2 1 Tf (a 501 \(c\) 3 foundation. )Tj 0 -1.2 TD (6215 Humphreys Boulevard, Suite 400, Memphis, TN 38120)Tj /T1_1 1 Tf ( )Tj 0 -1.217 TD (Last modified: August 26, 2006)Tj ET EMC /Artifact <>BDC Q 0 0 0 rg BT /T1_0 1 Tf 7.0255 0 0 7.0255 18 8.6684 Tm (http://www.memfert.com/endostage.htm \(4 of 4\)20.8.2007 14:54:55)Tj ET EMC endstream endobj 212 0 obj(Endometriosis Staging) endobj 213 0 obj<> endobj 214 0 obj<> endobj 215 0 obj<> endobj 216 0 obj<> endobj 217 0 obj[214 0 R] endobj 218 0 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