Huang Q, Huang S, Jiang J, Cai W R, Yin K J, Chen X J
Clin Exp Obstet Gynecol. 2015;42(3):336-8.
This study aims to improve the diagnostic and therapeutic efficacy through analysis of clinical and radiographic characteristics in pulmonary endometriosis.
This retrospective study was conducted from January 1998 to December 2008. The clinical and radiographic characteristics of five patients diagnosed as pulmonary endometriosis were evaluated.
Among the five female patients of reproductive age, one case presented with recurrent pneumothorax, four cases presented with recurrent hemoptysis. Episode of pneumothorax and hemoptysis had the close association with the menstrual cycle. Except for pneumothorax case, the computed tomography (CT) scans during menstruation showed patchy opacification or infiltration (n = 4). Histopathologic examination of the resected specimen conformed typical endometrial tissue in the lungs. Misdiagnosis occurred involving spontaneous pneumothorax (n = 1), pulmonary tuberculosis (TB) (n = 3), and bronchiectasis (n = 1).
Pulmonary endometriosis is prone to misdiagnosis. The combination of medical history and CT scans in association with menstrual cycle was useful to make the differential diagnosis after effective diagnostic treatment of hormone therapy.
本研究旨在通过分析肺子宫内膜异位症的临床和影像学特征来提高其诊断和治疗效果。
本回顾性研究于1998年1月至2008年12月进行。对5例诊断为肺子宫内膜异位症患者的临床和影像学特征进行评估。
在5例育龄期女性患者中，1例表现为复发性气胸，4例表现为复发性咯血。气胸和咯血发作与月经周期密切相关。除气胸病例外，月经期间的计算机断层扫描（CT）显示斑片状模糊影或浸润（n = 4）。切除标本的组织病理学检查证实肺部为典型的子宫内膜组织。误诊情况包括自发性气胸（n = 1）、肺结核（TB）（n = 3）和支气管扩张（n = 1）。
肺子宫内膜异位症易于误诊。结合病史、CT扫描以及月经周期，在进行激素治疗的有效诊断性治疗后有助于进行鉴别诊断。
