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Cited by 129Endometriosis Research and TreatmentPleural and Pulmonary DiseasesMedical Imaging and Pathology Studies

Thoracic Endometriosis: Revisiting the Association Between Clinical Presentation and Thoracic Pathology Based on Thoracoscopic Findings in 110 Patients

Channabasavaiah, Anitha D., Joseph, Jose Vempilly·2010·Medicine
DOI 10.1097/md.0b013e3181df67d5
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Abstract

Thoracic endometriosis (TE) is a rare disorder affecting women during their reproductive years. The etiopathogenesis of this disease is not well understood; the prevailing opinion is based on analysis obtained from case reports and small case series. A 1996 review of TE was not able to address the association between clinical presentation and thoracic pathology due to a paucity of thoracoscopic findings in these earlier cases. Since the year 2001, most published cases and series have included thoracoscopic findings. Therefore, we compiled data from case reports and case series published in English from January 2001 to July 2007 to analyze the demographics, clinical characteristics, and thoracoscopic findings, and to study the relationship between thoracoscopic findings and clinical presentation in patients with thoracic endometriosis. The clinical presentations in 110 patients were as follows: pneumothorax in 79 (72%), hemoptysis in 16 (14%), hemothorax in 13 (12%), and lung mass in 2 (2%). Ninety-one of the 110 (85%) patients underwent thoracotomy or thoracoscopy. The right hemithorax was more often affected (85%) than the left side (p = 0.008). The mean (standard deviation [SD]) age of all patients was 34 (7.6 yr). The mean age of patients presenting with hemoptysis (25.9 +/- 4.6 yr) was significantly lower than the age of those presenting with pneumothorax and hemothorax (p < 0.01). There was no significant association between the presence of diaphragmatic defects and pneumothorax (odds ratio [OR], 0.3; 95% confidence interval [CI], 0.05-1.58; p = 0.23). The presence of parietal and visceral pleural implants was associated with a fivefold increase in hemothorax (OR, 5.55; 95% CI, 1.20-25.53; p < 0.01).Hemoptysis occurring in younger subjects may be the earliest manifestation of parenchymal lung involvement in TE. Diaphragmatic defects do not increase the risk for pneumothorax. Hemothorax reflects an increased burden of pleural implants in TE.

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Crossref · 10.1097/md.0b013e3181df67d5

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  • Pulmonary nodules can vary in size from 0.5 to 3 cm.

    “They can vary in size from 0.5 to 3 cm.8,34”

    From Thoracic Endometriosis Syndrome: A Review of Diagnosis and Management (2019) · cites this paper as [34]

  • CP is the most common clinical presentation of TE, occurring in 72%-73% of TE patients, followed by catamenial hemothorax (12%-14%), CH (7%-12%), and lung nodule (2%-6%).

    “CP is the most common clinical presentation of TE, occurring in 72%‐73% of TE patients, followed by catamenial hemothorax (12%‐14%), CH (7%‐12%), and lung nodule (2%‐6%).”

    From Extra-pelvic endometriosis: a review. (2020) · cites this paper as [70]

  • Catamenial hemoptysis has a low incidence of pelvic endometriosis.

    “while CH has a low incidence of pelvic endometriosis, 70”

    From Extra-pelvic endometriosis: a review. (2020) · cites this paper as [70]

  • Catamenial pneumothorax or endometriosis-related pneumothorax had a high probability of concurrent pelvic endometriosis.

    “CP/ERP had a high probability of concurrent pelvic endometriosis,”

    From Extra-pelvic endometriosis: a review. (2020) · cites this paper as [70]

  • Among thoracic endometriosis cases, the frequency of catamenial hemoptysis has been reported to be much lower than that of catamenial pneumothorax.

    “Among TE cases, the frequency of CH has been reported to be much lower than that of CP.”

    From Extra-pelvic endometriosis: a review. (2020) · cites this paper as [70]

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Authors
Channabasavaiah, A. D., & Joseph, J. V.
Affiliations
University of California, San Francisco (US)
Venue
Medicine
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2010-05
Volume
89
Issue
3
Pages
183-188
ISSN
0025-7974 (ISSN-L)
DOI
10.1097/md.0b013e3181df67d5
OpenAlex
W2070181383
Cited by
124
References
69
Citations by year
2026: 2 · 2025: 7 · 2024: 7 · 2023: 5 · 2022: 2 · 2021: 16 · 2020: 11 · 2019: 11 · 2018: 7 · 2017: 7 · 2016: 11 · 2015: 7 · 2014: 7 · 2013: 15 · 2012: 5
FWCI
1.08
Type
journal article
Language
en
Open access
closed
Locations
  • Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Pleural and Pulmonary Diseases
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Medical Imaging and Pathology Studies
Keywords
thoracic endometriosis, pneumothorax, hemothorax, hemoptysis, diaphragmatic defect, clinical features, pulmonary involvement, age at presentation
MeSH terms
Adult, Endometriosis, Female, Hemoptysis, Hemothorax, Humans, Pneumothorax, Thoracic Diseases, Thoracoscopy

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