Management of thoracic endometriosis: single institution experience

Duyos I, I. Duyos, Inmaculada Duyos, López-Carrasco A, Ana López-Carrasco, Alicia Hernández, Ignacio Zapardiel, de Santiago J, Javier De Santiago
European journal of obstetrics, gynecology, and reproductive biology · 2014 · vol. 178 , pp. 56–59 · doi:10.1016/j.ejogrb.2014.03.026 · PMID:24809986 · W1989162195
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This paper describes a single institution's experience managing thoracic endometriosis.

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Abstract

OBJECTIVE: Thoracic endometriosis is a relatively rare type of endometriosis and includes catamenial pneumothorax, hemothorax and hemoptysis, and presence of intrathoracic endometriotic nodules. We want to clarify and resume the most appropriate management of this pathology. STUDY DESIGN: We retrospectively reviewed all the cases of thoracic endometriosis diagnosed and followed up in our Unit from 2005 to 2013. This search revealed five women, with a mean age of 34.5 (26-44). Four had previous history of endometriosis or severe dysmenorrhea. One patient complained of chronic shoulder pain with diaphragmatic implants, another one presented catamenial hemoptysis, and three women suffered from catamenial pneumothorax, with right-side preference. RESULTS: Three patients underwent surgery and all of them were treated with GnRH agonists at least during 6 month referring improvement in symptoms. After 1-8 years follow-up, all these patients remain asymptomatic. CONCLUSION: The optimal management of thoracic endometriosis needs further evaluation but the combined approach by hormonal therapy and surgery could be the best option.

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Condition tags

endometriosisthoracic_endometriosis

MeSH descriptors

Endometriosis Pneumothorax Thoracic Diseases Adult Adult Endometriosis Endometriosis Female Female Humans Humans Pneumothorax Pneumothorax Pneumothorax Pneumothorax Retrospective Studies Retrospective Studies Thoracic Diseases Thoracic Diseases Thoracic Diseases

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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Cited by (14)

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License: CC0 · commercial use OK