Thoracic endometriosis: clinicopathologic updates and issues about 18 cases from a tertiary referring center

Ghigna, Maria-Rosa; Mercier, Olaf; Mussot, Sacha; Fabre, Dominique; Fadel, Élie; Dorfmüller, Peter; Montpréville, Vincent Thomas de

doi:10.1016/j.anndiagpath.2015.07.001

Cited by 28 publications

(20 citation statements)

References 26 publications

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“…Intrahepatic endometriosis also has been found in post-menopausal women, suggesting that this condition is not limited to women of reproductive ages [ 41 ]. Cases of thoracic endometriosis presenting as hemoptysis and spontaneous pneumothorax also have been reported in the literature [ 42 ]. These few examples indicate the complexity of endometriosis and the way atypical cases of this disorder might present.…”

Section: Reviewmentioning

confidence: 99%

The Clinical Anatomy of Endometriosis: A Review

Alimi¹,

Iwanaga²,

Loukas³

et al. 2018

Cureus

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Endometriosis is a gynecological disorder identified by the presence of ectopic endometrial tissue outside the uterus. Largely, it affects reproductive-aged women and is a major cause of infertility. Clinical manifestations of endometriosis include dyspareunia, cyclic menstrual pain, chronic pelvic pain, and dyschezia, all of which can affect the patient’s quality of life and health severely; therefore, it is paramount that medical treatment is initiated as soon as endometriosis is suspected clinically. In this review, we examine the known anatomic principles of endometriosis in the literature and outline ways to manage patients with this condition better.

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Section: Reviewmentioning

confidence: 99%

The Clinical Anatomy of Endometriosis: A Review

Alimi¹,

Iwanaga²,

Loukas³

et al. 2018

Cureus

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“…Mesothelial cells are modified by inflammatory reactive stimuli and fibrosis is sometimes observed. Typical histologic findings consist of a hormone-dependent assembly of proliferative endometrial glands and stroma surrounded by hemosiderin-laden macrophages whose presence could be indicative of endometriosis [23] . In our case, endometrial glands and stroma of the histologic lesions were positive for estrogen receptors.…”

Section: Discussionmentioning

confidence: 99%

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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“…Although the definitive diagnosis of endometriosis requires histologic confirmation, it is not always possible due to technical difficulties and the risk of diaphragmatic perforation ( 2 , 6 ), especially in asymptomatic patients. Moreover, the histologic diagnosis of endometriosis may be challenging on small pleural or lung biopsies and it is often overlooked due to the presence of fibrosis, inflammation, the effect of thermocoagulation, and the scant and patchy distribution of endometrial elements ( 15 ). This was the situation in Case 3, in which the surgical specimen had a marked thermal effect due to extensive fulguration.…”

Section: Discussionmentioning

confidence: 99%

Thoracic and diaphragmatic endometriosis: Single-institution experience using novel, broadened diagnostic criteria

Larraín

Suárez

Braun

et al. 2018

J Turkish German Gynecol Assoc

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Objective:To describe our experience with the multidisciplinary management of both thoracic/diaphragmatic endometriosis (TED), applying a broadened definition of the “Thoracic endometriosis syndrome (TES)” to define cases.Material and Methods:We present a retrospective series of consecutive patients affected by pathology-proven TED, treated at our institution, during a period of 7 years.Results:Five women were included. Two patients were referred due to catamenial chest/shoulder pain, one due to recurrent catamenial pneumothorax, and one due to new-onset diaphragmatic hernia. One patient had no thoracic symptoms, but diaphragmatic endometriosis was found during gynecologic laparoscopy for pelvic endometriosis. Endometriosis was histologically confirmed in all cases. After follow-up, all patients remain asymptomatic.Conclusion:Broadened TES criteria could increase the incidence of TED and determine better knowledge of this condition. Multidisciplinary, minimally invasive surgery is effective and safe, but should be reserved for tertiary referral centers.

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Thoracic endometriosis: clinicopathologic updates and issues about 18 cases from a tertiary referring center

Cited by 28 publications

References 26 publications

The Clinical Anatomy of Endometriosis: A Review

The Clinical Anatomy of Endometriosis: A Review

Catamenial pneumothorax caused by thoracic endometriosis

Thoracic and diaphragmatic endometriosis: Single-institution experience using novel, broadened diagnostic criteria

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