由胸腔子宫内膜异位症引起的经期气胸。
Catamenial pneumothorax caused by thoracic endometriosis.
作者信息
Maniglio Paolo, Ricciardi Enzo, Meli Federica, Vitale Salvatore Giovanni, Noventa Marco, Vitagliano Amerigo, Valenti Gaetano, La Rosa Valentina Lucia, Laganà Antonio Simone, Caserta Donatella
机构信息
Surgical and Medical Department of Translational Medicine, Sant'Andrea Hospital, Faculty of Medicine and Psycology, University of Rome "Sapienza", Via di Grottarossa 1035, 00139 Rome, Italy.
Department of Gynecological Surgery, European Institute of Oncology, Via Ripamonti 435, 20141 Milan, Italy.
出版信息
Radiol Case Rep. 2017 Oct 13;13(1):81-85. doi: 10.1016/j.radcr.2017.09.003. eCollection 2018 Feb.
BACKGROUND
Thoracic 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 REPORT
We 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.
CONCLUSION
The 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.
背景
胸段子宫内膜异位症综合征是盆腔外子宫内膜异位症的一种罕见形式，其特征是在胸膜、肺实质和气道中存在有功能的子宫内膜组织，且不孕率较高。
病例报告
我们报告了一例成功管理和治疗胸段子宫内膜异位症综合征的病例，该病例发生在一名37岁女性患者身上。她接受了胸腔镜下病变切除术。在随访期间，我们发现先前接受手术治疗的胸段子宫内膜异位症复发。她最初接受促性腺激素释放激素激动剂治疗；随后改用地诺孕素进行预防性治疗。
结论
胸段子宫内膜异位症的诊断具有挑战性。一线治疗是药物治疗，其次是手术治疗。此外，手术治疗可能导致较高的复发率，联合药物治疗通常可降低复发率。
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