Tags

Type your tag names separated by a space and hit enter

Thoracic Endometriosis Syndrome: A Review of Diagnosis and Management.
JSLS 2019 Jul-Sep; 23(3)JSLS

Abstract

Background

Endometriosis is characterized by the presence of endometrial-like glands and stroma outside the uterine cavity and is believed to affect 6%-10% of reproductive-age women. Endometriosis within the lung parenchyma or on the diaphragm and pleural surfaces produces a range of clinical and radiological manifestations. This includes catamenial pneumothorax, hemothorax, hemoptysis, and pulmonary nodules, resulting in an entity known as thoracic endometriosis syndrome (TES).

Database

Computerized searches of MEDLINE and PubMed were conducted using the key words "thoracic endometriosis," "catamenial pneumothorax," "catamenial hemothorax," and "catamenial hemoptysis." References from identified sources were manually searched to allow for a thorough review.

Conclusion

TES can produce incapacitating symptoms for some patients. Symptoms of TES are nonspecific, so a high degree of clinical suspicion is warranted. Medical management represents the first-line treatment approach. When this fails or is contraindicated, definitive surgical treatment for cases of suspected TES uses a combined video laparoscopy performed by a gynecologic surgeon and video-assisted thoracoscopic surgery performed by a thoracic surgeon. Postoperative hormonal suppression may further reduce disease recurrence.

Authors+Show Affiliations

Camran Nezhat Institute, Center for Special Minimally Invasive and Robotic Surgery, Palo Alto, California, USA.Department of Obstetrics and Gynecology, Wright State University, Dayton, Ohio, USA.Department of Cardiothoracic Surgery, Stanford University Medical Center, Stanford, California, USA.Camran Nezhat Institute, Center for Special Minimally Invasive and Robotic Surgery, Palo Alto, California, USA.Camran Nezhat Institute, Center for Special Minimally Invasive and Robotic Surgery, Palo Alto, California, USA.Camran Nezhat Institute, Center for Special Minimally Invasive and Robotic Surgery, Palo Alto, California, USA.Nezhat Medical Center, Atlanta, Georgia, USA.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

31427853

Citation

Nezhat, Camran, et al. "Thoracic Endometriosis Syndrome: a Review of Diagnosis and Management." JSLS : Journal of the Society of Laparoendoscopic Surgeons, vol. 23, no. 3, 2019.
Nezhat C, Lindheim SR, Backhus L, et al. Thoracic Endometriosis Syndrome: A Review of Diagnosis and Management. JSLS. 2019;23(3).
Nezhat, C., Lindheim, S. R., Backhus, L., Vu, M., Vang, N., Nezhat, A., & Nezhat, C. (2019). Thoracic Endometriosis Syndrome: A Review of Diagnosis and Management. JSLS : Journal of the Society of Laparoendoscopic Surgeons, 23(3), doi:10.4293/JSLS.2019.00029.
Nezhat C, et al. Thoracic Endometriosis Syndrome: a Review of Diagnosis and Management. JSLS. 2019;23(3) PubMed PMID: 31427853.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Thoracic Endometriosis Syndrome: A Review of Diagnosis and Management. AU - Nezhat,Camran, AU - Lindheim,Steven R, AU - Backhus,Leah, AU - Vu,Mailinh, AU - Vang,Nataliya, AU - Nezhat,Azadeh, AU - Nezhat,Ceana, PY - 2019/8/21/entrez PY - 2019/8/21/pubmed PY - 2019/8/21/medline KW - Catamenial hemoptysis KW - Catamenial hemothorax KW - Catamenial pneumothorax KW - Diaphragmatic. endometriosis KW - Thoracic endometriosis JF - JSLS : Journal of the Society of Laparoendoscopic Surgeons JO - JSLS VL - 23 IS - 3 N2 - Background: Endometriosis is characterized by the presence of endometrial-like glands and stroma outside the uterine cavity and is believed to affect 6%-10% of reproductive-age women. Endometriosis within the lung parenchyma or on the diaphragm and pleural surfaces produces a range of clinical and radiological manifestations. This includes catamenial pneumothorax, hemothorax, hemoptysis, and pulmonary nodules, resulting in an entity known as thoracic endometriosis syndrome (TES). Database: Computerized searches of MEDLINE and PubMed were conducted using the key words "thoracic endometriosis," "catamenial pneumothorax," "catamenial hemothorax," and "catamenial hemoptysis." References from identified sources were manually searched to allow for a thorough review. Conclusion: TES can produce incapacitating symptoms for some patients. Symptoms of TES are nonspecific, so a high degree of clinical suspicion is warranted. Medical management represents the first-line treatment approach. When this fails or is contraindicated, definitive surgical treatment for cases of suspected TES uses a combined video laparoscopy performed by a gynecologic surgeon and video-assisted thoracoscopic surgery performed by a thoracic surgeon. Postoperative hormonal suppression may further reduce disease recurrence. SN - 1938-3797 UR - https://www.unboundmedicine.com/medline/citation/31427853/Thoracic_Endometriosis_Syndrome:_A_Review_of_Diagnosis_and_Management_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/31427853/ DB - PRIME DP - Unbound Medicine ER -