一例绝经后女性与胸内子宫内膜异位症相关的气胸。

A case of thoracic endometriosis-related pneumothorax in a menopausal woman.

机构信息

Departments of Surgery, National Hospital Organization Ehime Medical Center, 366 Yokogawara, Toon, Ehime, 791-0281, Japan.

Center of Chest Medicine and Surgery, Ehime University, Toon, Ehime, Japan.

出版信息

Gen Thorac Cardiovasc Surg. 2020 Dec;68(12):1584-1586. doi: 10.1007/s11748-020-01381-8. Epub 2020 May 14.

DOI:10.1007/s11748-020-01381-8

PMID:32409913

Abstract

Thoracic endometriosis-related pneumothorax (TERP) or thoracic endometriosis syndrome (TES) usually occurs in women of childbearing age and affects the right thorax. Menopausal and left-sided cases are rare. A case of left-sided TERP in a postmenopausal woman after adjuvant endocrine therapy for breast cancer is reported. A 51-year-old woman underwent video-assisted thoracic surgery for recurrent left pneumothorax. Immunohistological examination of the resected specimen from the apical bleb and a diaphragmatic blueberry spot demonstrated thoracic endometriosis. Even in the case of a left-sided pneumothorax in a menopausal woman, clinicians should be aware of the possibility of TERP.

摘要

胸腔子宫内膜异位症相关气胸（TERP）或胸腔子宫内膜异位症综合征（TES）通常发生在育龄妇女中，影响右侧胸腔。绝经后和左侧病例较为罕见。报告了一例乳腺癌辅助内分泌治疗后绝经后妇女左侧 TERP。一名 51 岁女性因左侧复发性气胸接受电视辅助胸腔镜手术。切除的标本在肺尖疱和膈肌蓝莓斑处的免疫组织化学检查显示为胸腔内子宫内膜异位症。即使在绝经后妇女左侧气胸的情况下，临床医生也应该意识到 TERP 的可能性。