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

Authors :
Tetsuya Hirata
Miyuki Harada
Akari Nakazawa
Yasushi Hirota
Kazuaki Neriishi
Shinya Fukuda
Tomoyuki Fujii
Kaori Koga
Osamu Wada-Hiraike
Yutaka Osuga
Gentaro Izumi
Masashi Takamura
Source :
European Journal of Obstetrics & Gynecology and Reproductive Biology. 225:118-123
Publication Year :
2018
Publisher :
Elsevier BV, 2018.

Abstract

To evaluate the clinical features of thoracic endometriosis syndrome (TES) represented by catamenial pneumothorax (CP), endometriosis-related pneumothorax (ERP), and catamenial hemoptysis (CH).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.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.Our findings suggest that CP/ERP and CH are different pathological conditions and CP/ERP is more difficult to manage than CH.

Details

ISSN :
03012115
Volume :
225
Database :
OpenAIRE
Journal :
European Journal of Obstetrics & Gynecology and Reproductive Biology
Accession number :
edsair.doi.dedup.....192544b87a4129b14c45558e6e1a239c
Full Text :
https://doi.org/10.1016/j.ejogrb.2018.04.021