Faculty of Medicine, Catholic University Leuven, Leuven, Belgium.
Doctoral School, Biomedical Sciences, Catholic University Leuven, Leuven, Belgium.
Acta Chir Belg. 2022 Dec;122(6):432-437. doi: 10.1080/00015458.2021.1887556. Epub 2021 Mar 4.
We report a rare case of an endometriotic lung cyst in a 47-year woman with recurrent catamenial hemoptysis. Chest computed tomography (CT) obtained outside the menstruation in October 2019 revealed a cystic lesion (2.5 cm) located in the right inferior lobe near the distal esophagus and the inferior pulmonary vein. Compared to CT abdomen in May 2019, this lesion had increased with a larger volume and a thicker wall. An endometrial lung cyst was suspected as episodes of hemoptysis no longer occurred after initiating hormonal treatment with nomegestrol acetate. Exploratory video-assisted thoracoscopic surgery with wedge resection of the cyst was performed. Histopathologic examination confirmed the diagnosis of an endometriotic cystic lesion. Postoperative course was uneventful with no further symptoms since then.
我们报告了一例罕见的子宫内膜异位性肺囊肿病例，患者为 47 岁女性，表现为反复月经性咯血。2019 年 10 月非月经期行胸部 CT 检查发现右肺下叶靠近食管远端及下肺静脉处有一囊性病变（2.5cm）。与 2019 年 5 月的腹部 CT 相比，病变体积增大，壁更厚。由于开始使用醋酸诺美孕酮进行激素治疗后咯血发作不再出现，故怀疑为子宫内膜肺囊肿。行电视辅助胸腔镜楔形切除术以探查囊性病变。组织病理学检查证实为子宫内膜异位性囊性病变。术后无并发症，此后无进一步症状。
