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Management of thoracic endometriosis: single institution experience.

Abstract

OBJECTIVE

Thoracic endometriosis is a relatively rare type of endometriosis and includes catamenial pneumothorax, hemothorax and hemoptysis, and presence of intrathoracic endometriotic nodules. We want to clarify and resume the most appropriate management of this pathology.

STUDY DESIGN

We retrospectively reviewed all the cases of thoracic endometriosis diagnosed and followed up in our Unit from 2005 to 2013. This search revealed five women, with a mean age of 34.5 (26-44). Four had previous history of endometriosis or severe dysmenorrhea. One patient complained of chronic shoulder pain with diaphragmatic implants, another one presented catamenial hemoptysis, and three women suffered from catamenial pneumothorax, with right-side preference.

RESULTS

Three patients underwent surgery and all of them were treated with GnRH agonists at least during 6 month referring improvement in symptoms. After 1-8 years follow-up, all these patients remain asymptomatic.

CONCLUSION

The optimal management of thoracic endometriosis needs further evaluation but the combined approach by hormonal therapy and surgery could be the best option.

Authors+Show Affiliations

Gynecology Department, La Paz University Hospital, Madrid, Spain. Electronic address: macuduyos@yahoo.es.Gynecology Department, La Paz University Hospital, Madrid, Spain.Gynecology Department, La Paz University Hospital, Madrid, Spain.Gynecology Department, La Paz University Hospital, Madrid, Spain.Gynecology Department, La Paz University Hospital, Madrid, Spain.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

24809986

Citation

Duyos, Inmaculada, et al. "Management of Thoracic Endometriosis: Single Institution Experience." European Journal of Obstetrics, Gynecology, and Reproductive Biology, vol. 178, 2014, pp. 56-9.
Duyos I, López-Carrasco A, Hernández A, et al. Management of thoracic endometriosis: single institution experience. Eur J Obstet Gynecol Reprod Biol. 2014;178:56-9.
Duyos, I., López-Carrasco, A., Hernández, A., Zapardiel, I., & de Santiago, J. (2014). Management of thoracic endometriosis: single institution experience. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 178, pp. 56-9. doi:10.1016/j.ejogrb.2014.03.026.
Duyos I, et al. Management of Thoracic Endometriosis: Single Institution Experience. Eur J Obstet Gynecol Reprod Biol. 2014;178:56-9. PubMed PMID: 24809986.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management of thoracic endometriosis: single institution experience. AU - Duyos,Inmaculada, AU - López-Carrasco,Ana, AU - Hernández,Alicia, AU - Zapardiel,Ignacio, AU - de Santiago,Javier, Y1 - 2014/04/12/ PY - 2013/10/10/received PY - 2014/03/10/revised PY - 2014/03/13/accepted PY - 2014/5/10/entrez PY - 2014/5/9/pubmed PY - 2015/2/11/medline KW - Catamenial hemothorax KW - Catamenial pneumothorax KW - Recurrent pneumothorax KW - Shoulder pain KW - Thoracic endometriosis SP - 56 EP - 9 JF - European journal of obstetrics, gynecology, and reproductive biology JO - Eur. J. Obstet. Gynecol. Reprod. Biol. VL - 178 N2 - OBJECTIVE: Thoracic endometriosis is a relatively rare type of endometriosis and includes catamenial pneumothorax, hemothorax and hemoptysis, and presence of intrathoracic endometriotic nodules. We want to clarify and resume the most appropriate management of this pathology. STUDY DESIGN: We retrospectively reviewed all the cases of thoracic endometriosis diagnosed and followed up in our Unit from 2005 to 2013. This search revealed five women, with a mean age of 34.5 (26-44). Four had previous history of endometriosis or severe dysmenorrhea. One patient complained of chronic shoulder pain with diaphragmatic implants, another one presented catamenial hemoptysis, and three women suffered from catamenial pneumothorax, with right-side preference. RESULTS: Three patients underwent surgery and all of them were treated with GnRH agonists at least during 6 month referring improvement in symptoms. After 1-8 years follow-up, all these patients remain asymptomatic. CONCLUSION: The optimal management of thoracic endometriosis needs further evaluation but the combined approach by hormonal therapy and surgery could be the best option. SN - 1872-7654 UR - https://www.unboundmedicine.com/medline/citation/24809986/Management_of_thoracic_endometriosis:_single_institution_experience_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0301-2115(14)00176-6 DB - PRIME DP - Unbound Medicine ER -