Clinical-pathological findings of catamenial pneumothorax: comparison between recurrent cases and non-recurrent cases

Takahiro Haga, Masatoshi Kurihara, Hideyuki Kataoka, Hiroki Ebana
Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2014 · doi:10.5761/atcs.oa.12.02227 · PMID:23698374
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This study compared clinical and pathological findings in patients with thoracic endometriosis, finding that endometrial glands in the diaphragm were significantly more common in recurrent catamenial pneumothorax cases.

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This study examined clinical and pathological records from 92 women pathologically diagnosed with thoracic endometriosis to characterize catamenial pneumothorax (CP), comparing patients who experienced recurrence versus those who did not. The recurrence rate was high, with 36/92 (39.1%) recurrent cases and 37/92 (40.2%) non-recurrent cases; 19 (20.4%) could not be evaluated. Pathologically, the ratio of endometrial glands in the diaphragm was significantly higher in recurrent cases (66.7% vs. 37.8%, P = 0.01). The paper notes that further research is needed to determine optimal management strategies, especially for CP cases with diaphragmatic endometrial gland involvement. This paper is centrally about endometriosis — specifically thoracic endometriosis presenting as catamenial pneumothorax (a form of ectopic endometriosis).

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Abstract

PURPOSE: Catamenial pneumothorax (CP) is classified as thoracic endometriosis syndrome. There are few reports of CP, and the clinical manifestations of this disease are unclear. The aim of the present study is to clarify the features of CP. METHODS: The clinical and pathological files of the 92 female patients pathologically diagnosed with thoracic endometriosis are included in this study. The clinical data and pathological findings of the recurrent and non-recurrent groups are compared. RESULTS: Thirty-six patients (39.1%) experienced recurrence, 37 (40.2%) patients did not, and 19 (20.4) patients could not be evaluated. The ratio of the endometrial gland in the diaphragm is significantly higher in the recurrent cases in comparison to non-recurrent cases (66.7% vs. 37.8%, P = 0.01). CONCLUSIONS: The recurrence rate of CP is high. Further study of the optimal management strategies is needed, especially for CP cases with the endometrial gland in the diaphragm.
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Keywords

catamenial pneumothorax, spontaneous pneumothorax, thoracic endometriosis, ectopic endometriosis 2014 Volume 20 Issue 3 Pages 202-206 Details

Abstract

Purpose: Catamenial pneumothorax (CP) is classified as thoracic endometriosis syndrome. There are few reports of CP, and the clinical manifestations of this disease are unclear. The aim of the present study is to clarify the features of CP.

Methods

The clinical and pathological files of the 92 female patients pathologically diagnosed with thoracic endometriosis are included in this study. The clinical data and pathological findings of the recurrent and non-recurrent groups are compared.

Results

Thirty-six patients (39.1%) experienced recurrence, 37 (40.2%) patients did not, and 19 (20.4) patients could not be evaluated. The ratio of the endometrial gland in the diaphragm is significantly higher in the recurrent cases in comparison to non-recurrent cases (66.7% vs. 37.8%, P = 0.01).

Conclusions

The recurrence rate of CP is high. Further study of the optimal management strategies is needed, especially for CP cases with the endometrial gland in the diaphragm.

Methods

The clinical and pathological files of the 92 female patients pathologically diagnosed with thoracic endometriosis are included in this study. The clinical data and pathological findings of the recurrent and non-recurrent groups are compared.

Results

Thirty-six patients (39.1%) experienced recurrence, 37 (40.2%) patients did not, and 19 (20.4) patients could not be evaluated. The ratio of the endometrial gland in the diaphragm is significantly higher in the recurrent cases in comparison to non-recurrent cases (66.7% vs. 37.8%, P = 0.01).

Conclusions

The recurrence rate of CP is high. Further study of the optimal management strategies is needed, especially for CP cases with the endometrial gland in the diaphragm. © 2014 The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery This article is licensed under a Creative Commons [Attribution-NonCommercial-NoDerivatives 4.0 International] license. https://creativecommons.org/licenses/by-nc-nd/4.0/ Favorites & Alerts Recently viewed articles

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Condition tags

endometriosisthoracic_endometriosis

MeSH descriptors

Choristoma Diaphragm Endometriosis Endometrium Lung Pleura Pneumothorax Adult Choristoma Choristoma Diaphragm Diaphragm Endometriosis Endometriosis Female Humans Lung Lung Middle Aged Pleura

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