Successful Endoscopic Nd-YAG Laser Treatment of Endobronchial Endometriosis

Puma, Francesco; Carloni, Angelo; Casucci, G; Puligheddu, Carla; Urbani, Moira; Porcaro, Giuseppina

doi:10.1378/chest.124.3.1168

Cited by 33 publications

(19 citation statements)

References 17 publications

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“…These lesions might represent parenchymal endometrial tissue or blood only. Tracheobronchial endometriosis is a subtype of catamenial hemoptysis, and the timing of the bronchoscopic examination is important for diagnosis in these cases [3,4]. Bronchoscopic examination at the time of hemoptysis, however, failed to demonstrate the presence of any central airway lesions in this study.…”

Section: Discussionmentioning

confidence: 63%

“…The etiological mechanisms remain to be elucidated, and optimal management is debated. Various treatment modalities such as surgery, hormonal therapy or conservative management have been attempted [1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16]. However, the current knowledge on treatment outcomes of catamenial hemoptysis is largely based on case reports of patients with pelvic endometriosis.…”

Section: Introductionmentioning

confidence: 99%

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Catamenial Hemoptysis: A Nationwide Analysis in Korea

et al. 2009

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Background: Hemoptysis is a potentially serious clinical problem. However, there is no consensus on the clinical characteristics, treatment and patient outcome of catamenial hemoptysis. Objective: Clinical characteristics, treatments and outcome in patients of catamenial hemoptysis were evaluated. Methods: We conducted a retrospective nationwide observational analysis of Korean patients with catamenial hemoptysis. Results: Nineteen patients with catamenial hemoptysis were evaluated from 13 tertiary-care hospitals in Korea. The median age of the patients was 25 years; 8 (42%) were ever-smokers. Eight patients were pathologically diagnosed; 11 were diagnosed by clinical criteria. Sixteen (84%) patients had a history of obstetric or gynecological procedures before developing hemoptysis. The mean amount of hemoptysis (mean ± SD) was 58.3 ± 71.3 for surgery, 46.4 ± 33.2 for hormonal and 29.1 ± 26.3 for conservative treatment groups. Hemoptysis did not recur in 8 (89%) of 9 patients after surgery. None of the patients in the hormonal or conservative treatment groups had persistent hemoptysis. There was an excellent outcome (complete remission and partial responses) in all patients with conservative treatment, suggesting that endometrial cells implanted into the lung may have a benign course. Conclusion: Patients without massive hemoptysis can be treated conservatively or with hormonal agents.

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Section: Discussionmentioning

confidence: 63%

Section: Introductionmentioning

confidence: 99%

Catamenial Hemoptysis: A Nationwide Analysis in Korea

et al. 2009

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“…Wedge resection or lobectomy can be applied to these cases according to the extent and location of the lesion. Video-assisted thoracoscopic surgery, endoscopic laser treatment9 or open surgery can be done7.…”

Section: Discussionmentioning

confidence: 99%

A Case of Catamenial Hemoptysis Treated by Bronchial Artery Embolization

et al. 2014

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Catamenial hemoptysis is a rare condition, characterized by recurrent hemoptysis associated with the presence of intrapulmonary or endobronchial endometrial tissue. Therapeutic strategies proposed for intrapulmonary endometriosis with catamenial hemoptysis consist of medical treatments and surgery. Bronchial artery embolization is a well-established modality in the management of massive or recurrent hemoptysis, but has seldom been used for the treatment of catamenial hemoptysis. We report a case of catamenial hemoptysis associated with pulmonary parenchymal endometriosis, which was successfully treated by a bronchial artery embolization.

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“…Chest CT scan or magnetic resonance imaging, however, should be performed during menses for maximal diagnostic sensitivity [32]. In cases of tracheobroncheal endometriosis without parenchymal involvement, chest CT scan is usually nondiagnostic and may reveal only mild thickening of the bronchial wall [33]. Magnetic resonance imaging may be superior to CT in detecting pulmonary endometriosis, while angiography is of little value in establishing the diagnosis [26].…”

Section: Diagnosismentioning

confidence: 99%

Thoracic Endometriosis Syndrome

Augoulea

Lambrinoudaki²,

Christodoulakos³

2007

Respiration

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Endometriosis is defined as the presence of endometrial glands and stroma outside the uterine cavity and is usually confined to the pelvis. Thoracic endometriosis syndrome (TES) is a rare disorder characterized by the presence of functioning endometrial tissue in the pleura, the lung parenchyma and the airways. TES may present with hemoptysis, due to the shedding of endometrial tissue in the bronchial tree, or spontaneous pneumothorax or hemothorax if the endometrial tissue is localized peripherally. Patients are of reproductive age, often nulliparous, with long-standing symptoms. The crucial issue for establishing the diagnosis is the cyclicity of the symptoms which occur along with the menstrual cycle. TES is virtually a diagnosis of exclusion, established on clinical grounds, since neither CT nor endoscopy are specific for TES. Treatment consists of gonadotropin-releasing hormone analogues, aiming to suppress the hypophyseal-gonadal axis, so as to ensure a regression of the endometrial implants. If medical treatment fails, surgical resection of the endometriomas is suggested, although relapse rate may be high.

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Successful Endoscopic Nd-YAG Laser Treatment of Endobronchial Endometriosis

Cited by 33 publications

References 17 publications

Catamenial Hemoptysis: A Nationwide Analysis in Korea

Catamenial Hemoptysis: A Nationwide Analysis in Korea

A Case of Catamenial Hemoptysis Treated by Bronchial Artery Embolization

Thoracic Endometriosis Syndrome

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