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J Thorac Cardiovasc Surg 2004;127:1513-1514
© 2004 The American Association for Thoracic Surgery

Brief communication

Thoracic endometriosis: A case report and literature review

^a Medical Service, Pulmonary Section, Veterans Affairs Palo Alto Health Care System, Palo Alto, Calif, USA,
^b Department of Medicine, Division of Pulmonary and Critical Care Medicine, Stanford University School of Medicine, Palo Alto, Calif, USA

Received for publication September 27, 2003; revisions received November 11, 2003; accepted for publication December 2, 2003.

^* Address for reprints: Tomasz M. Ziedalski, MD, Division of Pulmonary and Critical Care Medicine, Stanford University School of Medicine, 300 Pasteur Dr, H3143, Stanford CA 94305-5236, USA
ziedalski@stanford.edu

The first 20% of the full text of this article appears below.

Thoracic endometriosis is a rare disorder characterized by the presence of functioning endometrial tissue within the pleura, the lung parenchyma, or the airways. In this report we describe a case of catamenial hemothorax and review the various presentations, pathogenesis, diagnosis, and therapies of thoracic endometriosis.

Clinical summary

A 28-year-old woman was seen for cough, right-sided pleuritic chest pain, and dyspnea. During the previous 3 years she had had multiple hospitalizations for right-sided pneumothorax, hemopneumothorax, and hemothorax. She had negative results of a workup for pulmonary embolism and of a pleural biopsy. The symptoms occurred within 24 to 48 hours after the onset of menses. Danazol therapy was unsuccessful and she refused hysterectomy with oophorectomy. Examination revealed a pale, mildly dyspneic woman with decreased breath sounds at the right base of the lungs. Chest radiography demonstrated a right-sided air-fluid level. Thoracentesis drained hemorrhagic fluid. Culture results were negative, and cytologic examination demonstrated endometrial epithelial cells with no evidence of malignancy. The postthoracentesis chest radiograph . . . [Full Text of this Article]

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				M. Alifano, R. Trisolini, A. Cancellieri, and J. F. Regnard Thoracic Endometriosis: Current Knowledge Ann. Thorac. Surg., February 1, 2006; 81(2): 761 - 769. [Abstract] [Full Text] [PDF]

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