A Case of Parenchymal Pulmonary Endometriosis, Diagnosed by Cytologic Examination of Bronchial Washing

Shiota, Yutaro; Umemura, Shigeki; Arikita, Hitomi; Horita, Naokatsu; Hiyama, Junichiro; Ono, Tetsuya; Sasaki, Nozomu; Taniyama, Kiyomi; Yamakido, Michio

doi:10.1159/000050545

Cited by 12 publications

(8 citation statements)

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“…Pelvic US of our patient showed deep endometriosis infiltration and associated fibrosis. Treatment of TES is divided into medical and surgical, being as challenging as diagnosis [13] , [24] . Suppression of the ectopic endometrium by oral contraceptive pills, progestins, danazol, or GnRH analogs that interfere with estrogen secretion, has been largely performed in these years [15] , [25] .…”

Section: Discussionmentioning

confidence: 99%

“…Magnetic resonance imaging (MRI) is considered more sensitive than computed tomography (CT) in blood detection during menstruation (hyperintense in T2 gradient echo), but less in spatial resolution compared to CT [12] . Bronchoscopy effectively isolates lesions located in the airways, but it cannot be used to detect the lesions located in the lung parenchyma and pleura [13] . Pulmonary endometriosis can be treated medically or surgically.…”

Section: Introductionmentioning

confidence: 99%

“…Pulmonary endometriosis can be treated medically or surgically. Medical therapy consists of suppression of ectopic endometrium activity by progestins, danazol, or gonadotropin-releasing hormone (GnRH) analogs [10] , [11] , [12] , [13] , [14] , [15] . Surgical management is performed when medical treatment fails and consists of endometrial tissue removal through video-assisted thoracoscopic surgery (VATS) or open surgery.…”

Section: Introductionmentioning

confidence: 99%

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Catamenial pneumothorax caused by thoracic endometriosis

Maniglio¹,

Ricciardi

Meli³

et al. 2018

Radiology Case Reports

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BackgroundThoracic endometriosis syndrome is a rare form of extrapelvic endometriosis characterized by the presence of functioning endometrial tissue in pleura, lung parenchyma, and airways, associated with a high rate of infertility.Case ReportWe have reported a case of successful management and treatment of thoracic endometriosis syndrome that occurred in a 37-year-old female patient. She underwent thoracoscopic resection of the lesion. During follow-up, we revealed the recurrence of a previously surgically treated thoracic endometriosis. She was initially treated with a gonadotropin-releasing hormone agonist; subsequently this was replaced by a prophylactic treatment with Dienogest.ConclusionThe diagnosis of thoracic endometriosis is challenging. The first line of treatment is medical, whereas the surgical treatment is performed secondly. Moreover, surgical treatment can lead to a significant rate of recurrence, often reduced by a coadjutant medical treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Catamenial pneumothorax caused by thoracic endometriosis

Maniglio¹,

Ricciardi

Meli³

et al. 2018

Radiology Case Reports

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“…Shiota et al were able to make the diagnosis of pulmonary endometriosis by cytologic examination of bronchial washings, although earlier studies indicated bronchoscopy was useful if performed within 1 to 2 days of the onset of menses [14].…”

Section: Emergency Medicine: Open Accessmentioning

confidence: 99%

Unusual Cause of Recurrent Chest Pain: Catamenial Pneumothorax

Fatma¹

2016

Emerg Med (Los Angel)

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“…Medical therapies have historically included administration of contraceptive progestogens, gonadotropin-releasing hormone agonists, androgens, and non-steroidal anti-inflammatory drugs. Treatments to lower circulating estradiol concentrations may be useful for only a limited time due to unacceptable side effects, and changes or additional medications are commonly needed [10]. …”

Section: Introductionmentioning

confidence: 99%

Endometriosis of the lung: report of a case and literature review

Huang

Zarogoulidis

et al. 2013

Eur J Med Res

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This paper reports a case of endometriosis of the lung in a 29-year-old woman with long-term periodic catamenial hemoptysis. A chest computed tomography image obtained during menstruation revealed a radiographic opaque lesion in the lingular segment of the left superior lobe. During bronchoscopy, bleeding in the mucosa of the distal bronchus of the lingular segment of the left superior lobe was observed. Histopathology subsequent to an exploratory thoracotomy confirmed the diagnosis of endometriosis of the left lung. The 2-year follow-up after lingular lobectomy of the left superior lobe showed no recurrence or complications.

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A Case of Parenchymal Pulmonary Endometriosis, Diagnosed by Cytologic Examination of Bronchial Washing

Cited by 12 publications

References 1 publication

Catamenial pneumothorax caused by thoracic endometriosis

Catamenial pneumothorax caused by thoracic endometriosis

Unusual Cause of Recurrent Chest Pain: Catamenial Pneumothorax

Endometriosis of the lung: report of a case and literature review

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