Catamenial hemoptysis accompanied by subcutaneous endometriosis treated with combination therapy

Hye-In Jang, Sung-Eun Kim, Tae‐Joong Kim, Yoo-Young Lee, Chel-Hun Choi, Jeong-Won Lee, Jeong‐Won Lee, Byoung‐Gie Kim, Byoung-Gie Kim, Duk‐Soo Bae, Duk-Soo Bae
Obstetrics & gynecology science · 2017 · vol. 60(2) , pp. 236 · doi:10.5468/ogs.2017.60.2.236 · PMID:28344969 · PMC5364110 · W2599859991
article OA: gold CC0 ⤵ 2 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This case study describes successful combination treatment with surgery and GnRH agonist therapy for a 26-year-old woman with catamenial hemoptysis and subcutaneous endometriosis.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

This case report describes a 26-year-old woman with catamenial hemoptysis recurring over 4 months, alongside a palpable subcutaneous nodule near a prior cesarean scar, evaluated with chest CT and pelvic MRI and then treated using video-assisted thoracoscopic surgery and perioperative gonadotropin-releasing hormone (GnRH) agonist therapy. Key findings were that CT showed a focal ground-glass opacity lesion in the right upper lobe consistent with pulmonary endometriosis, and histopathology confirmed endometrial glands and stroma within the lung parenchyma plus concurrent subcutaneous endometriosis; after surgical wedge resection and subsequent GnRH agonist cycles, there was no recurrence during 6 months of follow-up. A major limitation is that, as a single-patient report, it provides limited generalizability and only short follow-up, with the authors noting that long-term follow-up is needed. This paper is centrally about endometriosis — specifically a case of thoracic catamenial hemoptysis due to pulmonary endometriosis with concurrent subcutaneous (abdominal wall) endometriosis and perioperative GnRH plus surgery.

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Abstract

Extra pelvic endometriosis is considered to be rare. This paper reports a case of catamenial hemoptysis accompanied by subcutaneous endometriosis in 26-year-old woman. A computed tomography scan of the chest revealed a focal ground-glass opacity lesion in the posterior segment of the right upper lobe. Histopathology confirmed the diagnosis of endometriosis of right lung and concurrent subcutaneous endometriosis. She was treated with surgical resection of the endometriosis lesions on two different sites and perioperative gonadotropin-releasing hormone agonist therapy. The 6-month follow-up after combination treatment showed no recurrence. Though long-term follow-up result is needed, aggressive treatment using combination treatment (surgery and perioperative medication) should be considered for symptomatic extra pelvic endometriosis.

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Condition tags

endometriosis

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