Postoperative hormonal therapies reduce the recurrence of thoracic endometriosis-related pneumothorax
Open accessAbstract
OBJECTIVES: Thoracic endometriosis-related pneumothorax (TERP) frequently recurs even after surgery. Meanwhile, postoperative hormonal therapies (HTx) are believed to be effective for pelvic endometriosis. Therefore, we evaluated the relationship between postoperative TERP recurrence and postoperative HTx in a retrospective observational study. METHODS: We retrospectively reviewed the data of patients with TERP who underwent the first video-assisted thoracoscopic surgery between January 2011 and February 2022. RESULTS: Of the 248 patients eligible for this study, 67 (27.0%) experienced postoperative TERP recurrence. Postoperative HTx were administered to 70 patients (28.2%). Dienogest was the most frequently administered drug, given to 56.7% of patients. Following univariable analysis, postoperative hormonal therapies was closely related to reduce postoperative recurrence (P = 0.003). Likewise, the multivariable analysis revealed postoperative hormonal therapies were significantly associated with the risk reduction of recurrence (hazard ratio 0.28, P < 0.001). CONCLUSIONS: Postoperative HTx reduced TERP recurrence. We hypothesize that HTx may control residual endometrial tissues to avoid TERP if pleural endometrial tissues are resected as much as possible.
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Tsuboshima et al. found that post-operative patients who did not receive hormonal treatment had a 32.6% recurrence rate of pneumothorax, compared to 12.9% in patients who did receive treatment.
“Tsuboshima et al. published a recent retrospective observational study with 248 patients, wherein the post-operative group who did not receive hormonal treatment had a 32.6% recurrence rate of pneumothorax, compared to 12.9% in patients who did receive treatment.”
From Thoracic Endometriosis Syndrome: A Comprehensive Review and Multidisciplinary Approach to Management (2024) · cites this paper as [50]
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Research works printed but not linked: 1
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Thoracic Endometriosis Syndrome: A Comprehensive Review and Multidisciplinary Approach to Management
Nezhat, C., Amirlatifi, N., Najmi, Z., & Tsuei, A. (2024) · Journal of Clinical Medicine · doi:10.3390/jcm13247602 · Cited by 36 · see citing works
- Authors
- Tsuboshima, K., Kurihara, M., Okumura, G., Ohashi, K., Takahashi, K., Shiko, Y., Ozawa, Y., & Seyama, K.
- Affiliations
- Juntendo University (JP)
- Nissan Tamagawa Hospital (JP)
- Chiba University Hospital (JP)
- Corresponding author
- Tsuboshima, Kenji
- ORCID
- Venue
- European Journal of Cardio-Thoracic Surgery
- Publisher
- Oxford University Press (OUP)
- Published
- 2023-09-29
- Volume
- 64
- Issue
- 4
- ISSN
- 1010-7940 (ISSN-L)
- 1873-734X
- OpenAlex
- W4387164556
- Cited by
- 11
- References
- 28
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 2
- FWCI
- 2.03
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Journal of Cardio-Thoracic Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Pleural and Pulmonary Diseases
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Medical Imaging and Pathology Studies
- Keywords
- postoperative hormonal therapy, recurrence prevention, video-assisted thoracoscopic surgery, dienogest, pleural endometriosis
- MeSH terms
- Endometriosis, Female, Humans, Pleura, Pneumothorax, Recurrence, Retrospective Studies, Thoracic Surgery, Video-Assisted
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