Diaphragmatic endometriosis and thoracic endometriosis syndrome: a review on diagnosis and treatment

Thiers Soares Raymundo, Marco Aurelio Oliveira, Marco Aurélio Pinho Oliveira, Karen Panisset, Karen Soto Perez Panisset, Panisset K, Nassir Habib, Habib N, Rahman S, Sara Rahman, Klebanoff JS, Jordan S. Klebanoff, Gaby Moawad
Hormone molecular biology and clinical investigation · 2021 · vol. 43(2) , pp. 137–143 · doi:10.1515/hmbci-2020-0066 · PMID:34704688 · W3130143100
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This review summarizes the incidence, diagnosis, treatment, and prognosis of diaphragmatic endometriosis and Thoracic Endometriosis Syndrome, emphasizing multidisciplinary care and minimally invasive surgical approaches.

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Abstract

Endometriosis of the diaphragm has been gaining more attention in the practice of gynecologists and thoracic surgeons in recent years. Understanding related symptoms and developing imaging methods have improved their approach. A review of the literature was performed with the aim to report on incidence, diagnosis, treatment and prognosis of diaphragmatic endometriosis. We also cover the issue of the Thoracic Endometriosis Syndrome (TES). Complaints of cyclic chest pain in patients of childbearing age should have as differential diagnosis the presence of thoracic endometriosis. Catamenial pneumothorax is the main manifestation of diaphragmatic endometriosis and Thoracic Endometriosis Syndrome. Other possible manifestations are hemothorax, pulmonary nodules, and diaphragmatic hernia. Despite the possibility of drug treatment, many patients will be submitted to surgical treatment. The minimally invasive approach should be the one of choice. The robotic pathway allows for an easier approach due to its ability to articulate robotic arms, allowing the treatment of lesions in hard-to-reach locations, such as the posterior part of the diaphragm. Multidisciplinary treatment should be used in most cases, as only abdominal approach is not sufficient for the diagnosis and treatment of lesions in the thoracic cavity. The approach of endometriosis of the diaphragm and Thoracic Endometriosis Syndrome should be multidisciplinary, allowing the improvement of quality of life in most patients.

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Condition tags

endometriosisthoracic_endometriosis

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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.

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