Pulmonary endometriosis 25 years after surgical menopause (clinical case report)

Widespread pulmonary endometriosis 25 years after surgical menopause. A case report - Authors: Yarmolinskaya M.I.1, Suslova E.V.1 - Affiliations: - The Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott - Issue: Vol 72, No 5 (2023) - Pages: 137-145 - Section: Clinical practice guidelines - Submitted: 12.09.2023 - Accepted: 10.10.2023 - Published: 23.11.2023 - URL: https://journals.eco-vector.com/jowd/article/view/569225 - DOI: https://doi.org/10.17816/JOWD569225 - ID: 569225 Cite item Abstract We herein present a clinical case of widespread pulmonary endometriosis in a 65-year-old woman 25 years after surgical menopause. The patient is known from the history to have had widespread genital and extragenital endometriosis involving the ureters. Conspicuous is the fact that menopausal hormone therapy was not prescribed, which could account for the recurrence of the disease. However, the presence of extragenital endometriosis lesions in the lungs and an infiltrate in the pelvis may indicate reactivation of the disease. Taking into account the altered metabolism of estrogens in the endometriosis implants and the low level of estradiol in peripheral blood, the use of aromatase inhibitors may be a strategy for the treatment of common forms of endometriosis, including extragenital one, in the postmenopausal period. Full Text About the authors Maria I. Yarmolinskaya The Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott Email: [email protected] ORCID iD: 0000-0002-6551-4147 SPIN-code: 3686-3605 MD, Dr. Sci. (Med.), Professor, Professor of the Russian Academy of Sciences Russian Federation, St. PetersburgElena V. Suslova The Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott Author for correspondence. Email: [email protected] ORCID iD: 0000-0002-2861-873X SPIN-code: 8986-9303 MD, Cand. Sci. 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