Thoracic endometriosis in an inoperable patient

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AI-generated summary by claude@2026-06, 2026-06-08

This case report details a woman with inoperable thoracic endometriosis presenting as a pulmonary mass, where hormonal treatment showed little change but revealed central cavitation, posing therapeutic challenges.

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AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text

This case report describes a woman in her 30s diagnosed with thoracic endometriosis presenting as a large pulmonary mass, in whom surgery was deemed technically inoperable due to anatomical constraints. The authors initiated hormonal therapy with progestin, and follow-up CT showed little change in lesion size. However, imaging also revealed central cavitation after the lesion’s connection to a posterobasal bronchus, creating an additional therapeutic dilemma. This paper is centrally about endometriosis — specifically thoracic endometriosis mimicking a malignant pulmonary tumor in an inoperable patient.

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Abstract

In this case report, we present a case of a woman in her 30s who was diagnosed with thoracic endometriosis presenting as a large pulmonary mass. Hormonal treatment progestin (synthetic form of progesterone) was started. The patient was deemed technically inoperable due to anatomical constraints.Follow-up CT showed little change in the lesion's size but revealed central cavitation within the lesion due to its connection to a posterobasal bronchus presenting an additional therapeutic dilemma.This case highlights the diagnostic and treatment challenges associated with atypical thoracic masses that mimic malignant tumours particularly in the context of inoperable patients.
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Article Text Abstract In this case report, we present a case of a woman in her 30s who was diagnosed with thoracic endometriosis presenting as a large pulmonary mass. Hormonal treatment progestin (synthetic form of progesterone) was started. The patient was deemed technically inoperable due to anatomical constraints. Follow-up CT showed little change in the lesion’s size but revealed central cavitation within the lesion due to its connection to a posterobasal bronchus presenting an additional therapeutic dilemma. This case highlights the diagnostic and treatment challenges associated with atypical thoracic masses that mimic malignant tumours particularly in the context of inoperable patients. - Drugs: obstetrics and gynaecology - Respiratory medicine Statistics from Altmetric.com Footnotes Contributors All authors contributed to the manuscript, approved the final version and agree to be accountable for all aspects of the work. Guarantor: First author, AS, is the guarantor of this work and accepts full responsibility for the integrity of the data and the decision to submit the manuscript for publication. Grammarly for grammar, spelling and sentence correction. Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors. Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy. Competing interests None declared. Provenance and peer review Not commissioned; externally peer reviewed.

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Condition tags

endometriosisthoracic_endometriosis

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Thoracic Diseases Thoracic Diseases Thoracic Diseases Thoracic Diseases Thoracic Diseases Thoracic Diseases Thoracic Diseases Thoracic Diseases Adult

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Source provenance

europepmc
last seen: 2026-06-11T06:19:48.454388+00:00
pubmed
last seen: 2026-05-20T00:30:09.899782+00:00
unpaywall
last seen: 2026-06-02T02:00:03.124865+00:00
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Courtesy of the U.S. National Library of Medicine