Johnson Margaret M
Division of Pulmonary Medicine, The Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA.
Clin Chest Med. 2004 Jun;25(2):311-9. doi: 10.1016/j.ccm.2004.01.005.
Thoracic endometriosis syndrome is an uncommon entity with varied clinical manifestations. Its pathogenesis is not understood completely. Recurrent unilateral right-sided pneumothorax that occurs within days of the onset of menstruation is the most common presentation. Clinical suspicion and recognition of the temporal relationship of the patient's symptoms with menses are essential to establish the diagnosis. Radiographic studies, bronchoscopy, and thoracoscopy may support the diagnosis. Pathologic evidence of thoracic endometrial tissue is not present universally. Therapeutic interventions, which include medical and surgical options, must be individualized for each patient.
胸段子宫内膜异位症综合征是一种临床表现多样的罕见病症。其发病机制尚未完全明确。月经开始数天内出现的复发性单侧右侧气胸是最常见的表现形式。临床怀疑并认识到患者症状与月经的时间关系对于确诊至关重要。影像学检查、支气管镜检查和胸腔镜检查可能有助于诊断。并非普遍存在胸段子宫内膜组织的病理证据。治疗干预措施，包括药物和手术选择，必须针对每位患者进行个体化制定。
