Successful Video-Assisted Thoracic Surgery for Pulmonary Endometriosis: Report of a Case

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AI-generated summary by gemini-2.5-flash-lite+body, 2026-06-12

This case report describes the successful treatment of pulmonary endometriosis with catamenial hemoptysis using video-assisted thoracic surgery.

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This paper reports a single case of pulmonary endometriosis presenting with catamenial hemoptysis in a woman, where the diagnosis was established histologically. The authors describe management using video-assisted thoracic surgery with successful resection of the localized lesion, framed as a way to avoid adverse effects of long-term hormone therapy in women of childbearing years. The main limitation is that the evidence is limited to an individual case report, which cannot establish general effectiveness or comparative outcomes. This paper is centrally about endometriosis — it focuses specifically on pulmonary endometriosis treated by video-assisted thoracic surgery for catamenial hemoptysis.

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Abstract

Pulmonary endometriosis is a disease in which uterine endometrial cells with stromal components grow in the pulmonary parenchymal tissues or pleura. Surgical resection is considered an effective and radical treatment for pulmonary endometriosis to avoid the adverse effects of long-term hormone therapy in young women of childbearing years with a localized abnormal lesion. We report a case of pulmonary endometriosis with catamenial hemoptysis, an uncommon result of this disease, which was diagnosed histologically and treated successfully by video-assisted thoracic surgery.
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Abstract

Pulmonary endometriosis is a disease in which uterine endometrial cells with stromal components grow in the pulmonary parenchymal tissues or pleura. Surgical resection is considered an effective and radical treatment for pulmonary endometriosis to avoid the adverse effects of long-term hormone therapy in young women of childbearing years with a localized abnormal lesion. We report a case of pulmonary endometriosis with catamenial hemoptysis, an uncommon result of this disease, which was diagnosed histologically and treated successfully by video-assisted thoracic surgery. Similar content being viewed by others

References

LC Giudice LC Kao (2004) ArticleTitleEndometriosis Lancet 364 1789–99 Occurrence Handle15541453 Occurrence Handle10.1016/S0140-6736(04)17403-5 H Ogawa T Nakayama H Doi K Manabe S Sakaguchi (2005) ArticleTitleA case of pulmonary parenchymal endometriosis (in Japanese) Nihon Kokyuki Gakkai Zasshi 43 165–70 Occurrence Handle15801286 Y Terada F Chen T Shoji H Itoh H Wada S Hitomi (1999) ArticleTitleA case of endobronchial endometriosis treated by subsegmentectomy Chest 115 1475–78 Occurrence Handle10334179 Occurrence Handle10.1378/chest.115.5.1475 Occurrence Handle1:STN:280:DyaK1M3msFenug%3D%3D J Joseph SA Sahn (1996) ArticleTitleThoracic endometriosis syndrome: new observations from an analysis of 110 cases Am J Med 100 164–70 Occurrence Handle8629650 Occurrence Handle10.1016/S0002-9343(97)89454-5 Occurrence Handle1:STN:280:DyaK283gt12qug%3D%3D T Inoue Y Kurokawa Y Kaiwa M Abo T Takayama M Ansai et al. (2001) ArticleTitleVideo-assisted thoracoscopic surgery for catamenial hemoptysis Chest 120 655–8 Occurrence Handle11502673 Occurrence Handle10.1378/chest.120.2.655 Occurrence Handle1:STN:280:DC%2BD3Mvls1yquw%3D%3D DJ Wood K Krishnam MJ Ward (1993) ArticleTitleCatamenial hemoptysis: a rare cause Thorax 48 1048–9 Occurrence Handle8256237 Occurrence Handle1:STN:280:DyaK2c%2FnvVarsw%3D%3D Occurrence Handle10.1136/thx.48.10.1048 DB Flieder CA Moran WD Travis MN Koss EJ Mark (1998) ArticleTitlePleuro-pulmonary endometriosis and pulmonary ectopic deciduosis: a clinicopathological and immunohistochemical study of 10 cases with emphasis on diagnostic pitfalls Hum Pathol 29 1495–503 Occurrence Handle9865838 Occurrence Handle10.1016/S0046-8177(98)90021-1 Occurrence Handle1:STN:280:DyaK1M%2FotFCgtA%3D%3D Y Morita O Tsutsumi Y Taketani (1997) ArticleTitleSuccessful hormonal treatment of pulmonary parenchymal endometriosis Int J Gynecol Obstet 59 61–3 Occurrence Handle10.1016/S0020-7292(97)00135-5 Occurrence Handle1:STN:280:DyaK1c%2Fit1Cisw%3D%3D F Weber (2001) ArticleTitleCatamenial hemoptysis Ann Thorac Surg 72 1750–1 Occurrence Handle11722086 Occurrence Handle10.1016/S0003-4975(01)02654-6 Occurrence Handle1:STN:280:DC%2BD3Mnns1eisA%3D%3D Z Yu JK Fleischman HM Rahmann AF Mesia F Rosner (2002) ArticleTitleCatamenial hemoptysis and pulmonary endometriosis: a case report Mt Sinai J Med 69 261–3 Occurrence Handle12357268 Author information Authors and Affiliations Rights and permissions About this article Cite this article Haruki, T., Fujioka, S., Adachi, Y. et al. Successful Video-Assisted Thoracic Surgery for Pulmonary Endometriosis: Report of a Case. Surg Today 37, 141–144 (2007). https://doi.org/10.1007/s00595-006-3360-0 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s00595-006-3360-0

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Lung Neoplasms Pneumonectomy Thoracic Surgery, Video-Assisted Adult Diagnosis, Differential Endometriosis Endometriosis Endometriosis Female Humans Lung Neoplasms Lung Neoplasms Lung Neoplasms Magnetic Resonance Imaging Pneumonectomy Thoracic Surgery, Video-Assisted Tomography, X-Ray Computed

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