A multidisciplinary approach in the treatment of thoracic endometriosis

Р. И. Габидуллина, V. Yu. Matveev, F. F. MINNULLINA, Angelina I. Kuptsova, DINARA I. AKHMETOVA, I. M. Perevertov
In: Medical alphabet · 2024 · pp. 21–24 · doi:10.33667/2078-5631-2024-19-21-24 · W4403993108
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This review familiarizes gynecologists with thoracic endometriosis presentation, diagnosis, and treatment, highlighting VATS and hormonal suppression as key interventions and emphasizing an interdisciplinary approach.

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

The paper studies thoracic endometriosis by reviewing literature searches in PubMed, eLibrary, and EMBASE and by presenting a clinical case, with the goal of improving clinicians’ awareness of its clinical features, diagnosis, and treatment principles. It reports that symptoms are variable and may be asymptomatic, while a typical presentation includes menstrual cycle–related, usually right-sided pain in the chest, scapular, or shoulder region, and that diagnosis uses chest radiography, CT, MRI, and bronchoscopy. The authors state that video-assisted thoracoscopic surgery (VATS) is the gold standard for definitive diagnosis and effective treatment, and that first-line therapy is medication to suppress ovarian steroid hormone production, with surgery reserved for refractory, recurrent, or acute life-threatening cases. This paper is centrally about endometriosis — specifically thoracic endometriosis syndrome and its multidisciplinary diagnosis and treatment approach.

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Abstract

Purpose. To familiarize gynecologists with the clinical presentation, diagnosis and basic principles of treatment of thoracic endometriosis (TE). Materials and Methods. The article presents a review of publications based on the results of search in electronic resources PubMed, Elibrary, EMBASE. The own clinical observation of the patient with TE is also presented. Results. The clinical picture of TE can be different, in many patients it is asymptomatic. The typical symptom of TE is menstrual cycle-related, usually right-sided pain in the thoracic, scapular or shoulder area. Chest X-rays, computed tomography (CT), magnetic resonance imaging (MRI) and bronchoscopy are used in diagnosis. The gold standard for definitive diagnosis and effective treatment is video-assisted thoracoscopic surgery (VATS). As with pelvic disease, the first-line therapy for TE is medication to suppress ovarian steroid hormone production. Surgical treatment should be considered in patients with refractory or recurrent TE and in acute life-threatening conditions. Conclusion. Management of patients with thoracic endometriosis requires an interdisciplinary approach involving gynecologists and thoracic surgeons.

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Condition tags

endometriosisthoracic_endometriosis

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.

References (16)

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