Video-Assisted Thoracic Surgery for Pulmonary Endometriosis -Report of 1 Case-

Seong Joon Cho, Se Min Rhyu, Woo Jin Kim, Seung-Joon Lee, Yeon Soo Kim
In: Tuberculosis and Respiratory Diseases · 2006 · vol. 60(5) , pp. 576 · doi:10.4046/trd.2006.60.5.576 · W1989934135
article OA: bronze CC0 ⤵ 2 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-10 ⓘ

Video-assisted thoracic surgery was successfully used to resect a lung lesion in a 17-year-old female with catamenial hemoptysis due to pulmonary endometriosis.

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

This paper reports a single 17-year-old woman with pulmonary endometriosis presenting with catamenial hemoptysis, evaluated using chest radiography, contrast-free CT during and outside menses, bronchoscopy with specimen cultures, and video-assisted thoracic surgery (VATS) performed on day 2 of menstruation. CT showed ground-glass opacity in the right lower lobe latero-basal segment during menses that disappeared in the intermenstrual period, and bronchoscopy identified bleeding from the segmental bronchus; VATS partial resection using endo-GIA removed visually abnormal yellow-brown and surrounding hemorrhagic tissue, with pathology confirming intraalveolar hemorrhage, hemosiderin-laden macrophages, and endometriosis-consistent epithelium plus vessels. The authors note a key limitation that accurately locating and fully resecting endometrial tissue via VATS is difficult, especially because CT findings can vary with the menstrual cycle and bleeding-related opacity can confound lesion visualization. This paper is centrally about endometriosis — specifically pulmonary endometriosis treated with VATS, and it does not address adenomyosis.

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Abstract

Pulmonary endometriosis is an uncommon disease, and usually detected by catamenial hemoptysis. Treatment of pulmonary endometriosis may be medical(hormone therapy) or surgical. Since hormone therapy may cause sterility, most of patients who wish to conceive usually choose surgical resection. Although video-assisted thoracic surgery(VATS) has advantage of small scar, reducing postoperative pain and shortening hospital stay, it is not easy to locate the precise lesion and resect whole endometrial tissue not to be remained. 17 years old female with catamenial hemoptysis was treated sucessfully with a partial resection of the lung using VATS, and has been asymptomatic for 7months since the operation.(

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Condition tags

endometriosis

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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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last seen: 2026-06-10T17:14:06.276822+00:00
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