Thoracic endometriosis syndrome: Comparison between catamenial pneumothorax or endometriosis-related pneumothorax and catamenial hemoptysis

Fukuda S, Shinya Fukuda, Tetsuya Hirata, Kazuaki Neriishi, Neriishi K, Akari Nakazawa, Nakazawa A, Masashi Takamura, Takamura M, Gentaro Izumi, Izumi G, Miyuki Harada, Yasushi Hirota, Kaori Koga, Osamu Wada-Hiraike, Osamu Wada‐Hiraike, Wada-Hiraike O, Tomoyuki Fujii, Fujii T, Osuga Y, Yutaka Osuga
European journal of obstetrics, gynecology, and reproductive biology · 2018 · vol. 225 , pp. 118–123 · doi:10.1016/j.ejogrb.2018.04.021 · PMID:29704815 · W2801219482
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This paper compares thoracic endometriosis syndrome presentations, specifically catamenial pneumothorax versus endometriosis-related pneumothorax and catamenial hemoptysis.

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Abstract

ObjectivesTo evaluate the clinical features of thoracic endometriosis syndrome (TES) represented by catamenial pneumothorax (CP), endometriosis-related pneumothorax (ERP), and catamenial hemoptysis (CH).Study designIn this retrospective study, we enrolled 25 patients with TES, 18 of whom had CP/ERP and 7 had CH, to investigate the clinical presentation, effectiveness of treatment, and recurrence rates in these disorders.ResultsThe age at onset was significantly lower in patients with CH than in patients with CP/ERP (P < 0.05). In 94.4% of patients with CP/ERP, pneumothorax was observed on either the right side or bilaterally, however there was no tendency toward laterality of CH among our cases. In our study, patients with CP/ERP predominantly underwent surgical management and the recurrence rate during treatment was higher in patients with CP/ERP than in those with CH. We found that the recurrence frequency of CP/ERP was lowest under the combination therapy with thoracic surgery and postoperative hormonal therapy.ConclusionOur findings suggest that CP/ERP and CH are different pathological conditions and CP/ERP is more difficult to manage than CH.

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Condition tags

endometriosisthoracic_endometriosis

MeSH descriptors

Endometriosis Pneumothorax Thoracic Diseases Adolescent Adult Endometriosis Endometriosis Female Humans Middle Aged Pneumothorax Pneumothorax Thoracic Diseases Thoracic Diseases Young Adult

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