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

Abstract

OBJECTIVES

To evaluate the clinical features of thoracic endometriosis syndrome (TES) represented by catamenial pneumothorax (CP), endometriosis-related pneumothorax (ERP), and catamenial hemoptysis (CH).

STUDY DESIGN

In 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.

RESULTS

The 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.

CONCLUSION

Our findings suggest that CP/ERP and CH are different pathological conditions and CP/ERP is more difficult to manage than CH.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. Electronic address: thira-tky@umin.ac.jp.Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29704815

Citation

Fukuda, Shinya, et al. "Thoracic Endometriosis Syndrome: Comparison Between Catamenial Pneumothorax or Endometriosis-related Pneumothorax and Catamenial Hemoptysis." European Journal of Obstetrics, Gynecology, and Reproductive Biology, vol. 225, 2018, pp. 118-123.
Fukuda S, Hirata T, Neriishi K, et al. Thoracic endometriosis syndrome: Comparison between catamenial pneumothorax or endometriosis-related pneumothorax and catamenial hemoptysis. Eur J Obstet Gynecol Reprod Biol. 2018;225:118-123.
Fukuda, S., Hirata, T., Neriishi, K., Nakazawa, A., Takamura, M., Izumi, G., ... Osuga, Y. (2018). Thoracic endometriosis syndrome: Comparison between catamenial pneumothorax or endometriosis-related pneumothorax and catamenial hemoptysis. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 225, pp. 118-123. doi:10.1016/j.ejogrb.2018.04.021.
Fukuda S, et al. Thoracic Endometriosis Syndrome: Comparison Between Catamenial Pneumothorax or Endometriosis-related Pneumothorax and Catamenial Hemoptysis. Eur J Obstet Gynecol Reprod Biol. 2018;225:118-123. PubMed PMID: 29704815.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Thoracic endometriosis syndrome: Comparison between catamenial pneumothorax or endometriosis-related pneumothorax and catamenial hemoptysis. AU - Fukuda,Shinya, AU - Hirata,Tetsuya, AU - Neriishi,Kazuaki, AU - Nakazawa,Akari, AU - Takamura,Masashi, AU - Izumi,Gentaro, AU - Harada,Miyuki, AU - Hirota,Yasushi, AU - Koga,Kaori, AU - Wada-Hiraike,Osamu, AU - Fujii,Tomoyuki, AU - Osuga,Yutaka, Y1 - 2018/04/20/ PY - 2018/01/05/received PY - 2018/04/12/revised PY - 2018/04/16/accepted PY - 2018/4/29/pubmed PY - 2018/10/12/medline PY - 2018/4/29/entrez KW - Catamenial hemoptysis KW - Catamenial pneumothorax KW - Endometriosis related pneumothorax KW - Recurrence KW - Thoracic endometriosis syndrome SP - 118 EP - 123 JF - European journal of obstetrics, gynecology, and reproductive biology JO - Eur. J. Obstet. Gynecol. Reprod. Biol. VL - 225 N2 - OBJECTIVES: To evaluate the clinical features of thoracic endometriosis syndrome (TES) represented by catamenial pneumothorax (CP), endometriosis-related pneumothorax (ERP), and catamenial hemoptysis (CH). STUDY DESIGN: In 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. RESULTS: The 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. CONCLUSION: Our findings suggest that CP/ERP and CH are different pathological conditions and CP/ERP is more difficult to manage than CH. SN - 1872-7654 UR - https://www.unboundmedicine.com/medline/citation/29704815/Thoracic_endometriosis_syndrome:_Comparison_between_catamenial_pneumothorax_or_endometriosis_related_pneumothorax_and_catamenial_hemoptysis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0301-2115(18)30188-X DB - PRIME DP - Unbound Medicine ER -