Thoracic endometriosis: a brief review
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20243976Keywords:
Endometriosis, Thoracic disease, Catamenial pneumothorax, Haemothorax, Pulmonary nodule, Hormone therapyAbstract
Endometriosis is characterized by the presence of functional endometrial like glands and stroma outside the uterus. The most common extra pelvic site is thoracic cavity, which produces a range of clinical and radiological manifestations which include catamenial pneumothorax, hemothorax, hemoptysis, and pulmonary nodules resulting in thoracic endometriosis syndrome. This article reviews the condition of thoracic endometriosis syndrome, with details about symptoms, clinical examination, radiological features and management options are reviewed. The theories explaining such uncommon locations of endometriosis are discussed briefly. The role of local therapy and hormonal therapy, and description of our experience with two cases are presented.
Metrics
References
Nezhat C, Lindheim SR, Backhus L, Vu M, Vang N, Nezhat A, et al. Thoracic Endometriosis Syndrome: A Review of Diagnosis and Management. JSLS. 2019;23(3):e2019.00029.
Alifano M, Roth T, Broët SC, Schussler O, Magdeleinat P, Regnard JF. Catamenial pneumothorax: a prospective study. Chest. 2003;124(3):1004-8.
Nezhat C, Main J, Paka C, Nezhat A, Beygui RE. Multidisciplinary treatment for thoracic and abdominopelvic endometriosis. JSLS. 2014;18(3):e2014.00312.
Channabasavaiah AD, Joseph JV. Thoracic endometriosis: revisiting the association between clinical presentation and thoracic pathology based on thoracoscopic findings in 110 patients. Medicine (Baltimore). 2010;89(3):183-8.
Bagan P, Le Pimpec Barthes F, Assouad J, Souilamas R, Riquet M. Catamenial pneumothorax: retrospective study of surgical treatment. Ann Thorac Surg. 2003;75(2):378-81.
Mecha E, Makunja R, Maoga JB, Mwaura AN, Riaz MA, Omwandho COA, et al. The Importance of Stromal Endometriosis in Thoracic Endometriosis. Cells. 2021;10(1):180.
Kawaguchi Y, Hanaoka J, Ohshio Y, Igarashi T, Okamoto K, Kaku R, et al. Diagnosis of thoracic endometriosis with immunohistochemistry. J Thorac Dis. 2018;10(6):3468-72.
Joseph J, Sahn SA. Thoracic endometriosis syndrome: New observations from an analysis of 110 cases. Am J Med. 1996;100(2):164-70.
Joseph J, Reed CE, Sahn SA. Thoracic endometriosis. Recurrence following hysterectomy with bilateral salpingo-oophorectomy and successful treatment with talc pleurodesis. Chest. 1994;106(6):1894-6.
Schrodt GR, Alcorn MO, Ibanez J. Endometriosis of the male urinary system: a case report. J Urol. 1980;124(5):722-3.
Pinkert TC, Catlow CE, Straus R. Endometriosis of the urinary bladder in a man with prostatic carcinoma. Cancer. 1979;43(4):1562-7.
Konrad L, Dietze R, Kudipudi PK, Horné F, Meinhold-Heerlein I. Endometriosis in MRKH cases as a proof for the coelomic metaplasia hypothesis? Reproduction. 2019;158(2):R41-7.
Huang H, Li C, Zarogoulidis P, Darwiche K, Machairiotis N, Yang L, et al. Endometriosis of the lung: report of a case and literature review. Eur J Med Res. 2013;18(1):13.
Kiss I, Pospisilova E, Kolostova K, Maly V, Stanek I, Lischke R, et al. Circulating Endometrial Cells in Women With Spontaneous Pneumothorax. Chest. 2020;157(2):342-55.
Nezhat C, King LP, Paka C, Odegaard J, Beygui R. Bilateral thoracic endometriosis affecting the lung and diaphragm. JSLS. 2012;16(1):140-2.
Alifano M, Trisolini R, Cancellieri A, Regnard JF. Thoracic endometriosis: current knowledge. Ann Thorac Surg. 2006;81(2):761-9.
Shiraishi T. Catamenial pneumothorax: report of a case and review of the Japanese and non-Japanese literature. Thorac Cardiovasc Surg. 1991;39(5):304-7.
Korom S, Canyurt H, Missbach A, Schneiter D, Kurrer MO, Haller U, et al. Catamenial pneumothorax revisited: clinical approach and systematic review of the literature. J Thorac Cardiovasc Surg. 2004;128(4):502-8.
Shearin RP, Hepper NG, Payne WS. Recurrent spontaneous pneumothorax concurrent with menses. Mayo Clin Proc. 1974;49(2):98-101.
Nezhat C, Nezhat F, Nezhat C. Nezhat's Video-Assisted and Robotic-Assisted Laparoscopy and Hysteroscopy with DVD. New York: Cambridge University Press. 2013.
Andres MP, Arcoverde FVL, Souza CCC, Fernandes LFC, Abrão MS, Kho RM. Extrapelvic Endometriosis: A Systematic Review. J Minim Invasive Gynecol. 2020;27(2):373-89.
Haga T, Kataoka H, Ebana H, Otsuji M, Seyama K, Tatsumi K, et al. Thoracic endometriosis-related pneumothorax distinguished from primary spontaneous pneumothorax in females. Lung. 2014;192(4):583-7.
Terada Y, Chen F, Shoji T, Itoh H, Wada H, Hitomi S. A case of endobronchial endometriosis treated by subsegmentectomy. Chest. 1999;115(5):1475-8.
Terada Y, Chen F, Shoji T, Itoh H, Wada H, Hitomi S. A case of endobronchial endometriosis treated by subsegmentectomy. Chest. 1999;115(5):1475-8.
Rousset P, Rousset-Jablonski C, Alifano M, Mansuet-Lupo A, Buy JN, Revel MP. Thoracic endometriosis syndrome: CT and MRI features. Clin Radiol. 2014;69(3):323-30.
Wiener-Kronish JP, Broaddus VC. Interrelationship of pleural and pulmonary interstitial liquid. Annu Rev Physiol. 1993;55:209-26.
Alifano M, Cancellieri A, Fornelli A, Trisolini R, Boaron M. Endometriosis-related pneumothorax: clinicopathologic observations from a newly diagnosed case. J Thorac Cardiovasc Surg. 2004;127(4):1219-21.
Narula N, Ngu S, Avula A, Mansour W, Chalhoub M. Left-sided Catamenial Pneumothorax: A Rare Clinical Entity. Cureus. 2018;10(5):e2567.
Rousset-Jablonski C, Alifano M, Plu-Bureau G, Camilleri-Broet S, Rousset P, Regnard J-F, et al. Catamenial pneumothorax and endometriosis-related pneumothorax: clinical features and risk factors. Human Reprod. 2011;26(9):2322-9.
Dogra N, Luthra A, Chauhan R, Bajaj R, Gourav KP. Recurrent unilateral hemorrhagic pleural effusion: A rare manifestation of thoracic endometriosis syndrome. Ann Card Anaesth. 2020;23(4):521-3.
Nair SS, Nayar J. Thoracic Endometriosis Syndrome: A Veritable Pandora's Box. J Clin Diagn Res. 2016;10(4):QR04-8.
Shepard MK, Mancini MC, Campbell GD Jr, George R. Right-sided hemothorax and recurrent abdominal pain in a 34-year-old woman. Chest. 1993;103(4):1239-40.
Picozzi G, Beccani D, Innocenti F, Grazzini M, Mascalchi M. MRI features of pleural endometriosis after catamenial haemothorax. BMJ Case Rep. 2009;2009:bcr09.
Kuo PH, Wang HC, Liaw YS, Kuo SH. Bronchoscopic and angiographic findings in tracheobronchial endometriosis. Thorax. 1996;51(10):1060-1.
Hope-Gill B, Prathibha BV. Catamenial haemoptysis and clomiphene citrate therapy. Thorax. 2003;58(1):89-90.
Wang HC, Kuo PH, Kuo SH, Luh KT. Catamenial hemoptysis from tracheobronchial endometriosis: reappraisal of diagnostic value of bronchoscopy and bronchial brush cytology. Chest. 2000;118(4):1205-8.
Korom S, Canyurt H, Missbach A, Schneiter D, Kurrer MO, Haller U, et al. Catamenial pneumothorax revisited: clinical approach and systematic review of the literature. J Thorac Cardiovasc Surg. 2004;128(4):502-8.
Nezhat C, Nicoll LM, Bhagan L, Huang JQ, Bosev D, Hajhosseini B, et al. Endometriosis of the diaphragm: four cases treated with a combination of laparoscopy and thoracoscopy. J Minim Invasive Gynecol. 2009;16(5):573-80.
Flieder DB, Moran CA, Travis WD, Koss MN, Mark EJ. Pleuro-pulmonary endometriosis and pulmonary ectopic deciduosis: a clinicopathologic and immunohistochemical study of 10 cases with emphasis on diagnostic pitfalls. Hum Pathol. 1998;29(12):1495-503.
Haga T, Kumasaka T, Kurihara M, Kataoka H, Miura M. Immunohistochemical analysis of thoracic endometriosis. Pathol Int. 2013;63(9):429-34.
Crosignani P, Olive D, Bergqvist A, Luciano A. Advances in the management of endometriosis: an update for clinicians. Hum Reprod Update. 2006;12(2):179-89.
Garcia-Velasco JA, Quea G. Medical treatment of endometriosis. Minerva Ginecol. 2005;57(3):249-55. PMID: 16166934.
Olsen PS, Andersen HO. Long-term results after tetracycline pleurodesis in spontaneous pneumothorax. Ann Thorac Surg. 1992;53(6):1015-7.
Chen JS, Tsai KT, Hsu HH, Yuan A, Chen WJ, Lee YC. Intrapleural minocycline following simple aspiration for initial treatment of primary spontaneous pneumothorax. Respir Med. 2008;102(7):1004-10.
Takahashi R, Kurihara M, Mizobuchi T, Ebana H, Yamanaka S. Left-Sided Catamenial Pneumothorax with Thoracic Endometriosis and Bullae in the Alveolar Wall. Ann Thorac Cardiovasc Surg. 2017;23(2):108-12.