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Thoracic endometriosis syndrome: Comparison between catamenial pneumothorax or endometriosis-related pneumothorax and catamenial hemoptysis
- 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.
- Subjects :
- Adult
medicine.medical_specialty
Adolescent
genetic structures
Endometriosis
Catamenial pneumothorax
030204 cardiovascular system & hematology
behavioral disciplines and activities
Young Adult
03 medical and health sciences
Thoracic endometriosis
0302 clinical medicine
Thoracic Diseases
medicine
Humans
In patient
Pathological
030219 obstetrics & reproductive medicine
business.industry
musculoskeletal, neural, and ocular physiology
Pneumothorax
Obstetrics and Gynecology
Retrospective cohort study
Middle Aged
medicine.disease
Surgery
Reproductive Medicine
Female
Presentation (obstetrics)
business
psychological phenomena and processes
Subjects
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