Marjanski Tomasz, Czapla Aleksandra, Niedzielska Julia, Grono Lena, Bobula Jagoda, Świątkowska-Stodulska Renata, Milnerowicz-Nabzdyk Ewa
Department of Thoracic Surgery, Faculty of Medicine, Medical University of Gdansk, 80-214 Gdansk, Poland.
Department of Endocrinology and Internal Diseases, Faculty of Medicine, Medical University of Gdansk, 80-214 Gdansk, Poland.
J Clin Med. 2025 Apr 22;14(9):2882. doi: 10.3390/jcm14092882.
. Thoracic endometriosis is thought to be the most common form of endometriosis occurring outside of the pelvis. We aimed to characterize thoracic symptoms of endometriosis in a population of patients not necessarily suffering from catamenial pneumothorax, which is most commonly identified as a symptom of thoracic endometriosis. . We used a web-based survey addressed to users of two Polish endometriosis patient advocate organizations. The factor that qualified patients for the study was the presence of symptoms in the chest related to the menstrual cycle. . A total of 92 respondents were questioned. In this group, 96% (88/92) of patients were previously diagnosed with pelvic endometriosis, 20% (18/92) with thoracic endometriosis, and 18% (17/92) with diaphragmatic endometriosis. The percentage of patients diagnosed with both thoracic and diaphragmatic endometriosis was 15% (14/92). Ninety-eight percent of patients suffered from pain. The four most common symptoms reported by patients were chest pain, dyspnea, cough, and stunned limb, occurring in 96%, 67%, 52%, and 33%, respectively. The feeling of a stunned, weakened limb occurs in older women at 38.4 vs. 35.5 years of age ( = 0.021). There is a trend that women who suffer pain (36.7 vs. 31.3 years of age = 0.053) and hemoptysis (41.0 vs. 36.2 years of age = 0.059) are older than women without these symptoms. We identified two unique symptoms of thoracic endometriosis-pouring liquid sensation (13%) and popping sensation (12%)-which can be related to a small amount of gas and fluid in the pleural cavity. . Patients who have endometriosis suffer from a constellation of thoracic symptoms related to menses.
胸段子宫内膜异位症被认为是盆腔外最常见的子宫内膜异位症形式。我们旨在描述子宫内膜异位症患者群体中的胸段症状，这些患者不一定患有月经性气胸，而月经性气胸是胸段子宫内膜异位症最常见的症状。我们通过网络调查的方式，面向两个波兰子宫内膜异位症患者维权组织的用户。符合研究条件的患者因素是存在与月经周期相关的胸部症状。共有92名受访者接受了询问。在这个群体中，96%（88/92）的患者先前被诊断为盆腔子宫内膜异位症，20%（18/92）为胸段子宫内膜异位症，18%（17/92）为膈子宫内膜异位症。同时被诊断为胸段和膈子宫内膜异位症的患者比例为15%（14/92）。98%的患者有疼痛症状。患者报告的四个最常见症状分别是胸痛、呼吸困难、咳嗽和肢体麻木，发生率分别为96%、67%、52%和33%。肢体麻木、无力的感觉在年龄较大的女性中出现，年龄分别为38.4岁和35.5岁（P = 0.021）。有疼痛症状的女性（年龄36.7岁与31.3岁，P = 0.053）和咯血的女性（年龄41.0岁与36.2岁，P = 0.059）有比没有这些症状的女性年龄更大的趋势。我们发现了胸段子宫内膜异位症的两个独特症状——液体灌注感（13%）和爆裂感（12%）——这可能与胸腔内少量气体和液体有关。患有子宫内膜异位症的患者会出现一系列与月经相关的胸段症状。
