The Helpful Role of CD10 and Hormonal Receptors Co-Expression in the Histologic Diagnosis of Catamenial Pneumothorax
Abstract
The histology in cases of primary spontaneous pneumothorax is generally nonspecific, but a careful examination, taking into account clinical data, may reveal subtle tissue alterations leading to a specific diagnosis in cases that might otherwise be taken as primary and spontaneous. In this article, we describe 3 cases of catamenial pneumothorax histologically demonstrated by the presence of scattered and submillimeter aggregates of bland-looking spindle endometrial stromal cells (so-called "stromal endometriosis") into the visceral pleural layer. The use of CD10 and estrogen and progesterone receptors in lung resection specimens from young women experiencing recurrent pneumothorax is extremely helpful in disclosing endometriosis and confirming a diagnosis of catamenial pneumothorax. A review of the literature on this topic is also presented.
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Mecha et al. found that stromal endometriosis was diagnosed in 52% of immunohistochemical studies as opposed to 10% of histological studies of thoracic endometriosis syndrome.
“They found that stromal endometriosis was diagnosed in 52% of the immunohistochemical studies as opposed to 10% of the histological studies of TES.”
From Thoracic Endometriosis Syndrome: A Comprehensive Review and Multidisciplinary Approach to Management (2024) · cites this paper as [74]
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Thoracic Endometriosis Syndrome: A Comprehensive Review and Multidisciplinary Approach to Management
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Circulating Endometrial Cells in Women with Spontaneous Pneumothorax
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- Authors
- Mataca, E., Rossi, G., & Colby, T. V.
- Affiliations
- Azienda Unità Sanitaria Locale Della Romagna (IT)
- Mayo Clinic in Arizona (US)
- Corresponding author
- Mataca, Ema
- Venue
- International Journal of Surgical Pathology
- Publisher
- SAGE Publications
- Published
- 2019-05-09
- Volume
- 27
- Issue
- 6
- Pages
- 593-597
- ISSN
- 1066-8969 (ISSN-L)
- 1940-2465
- OpenAlex
- W2944172000
- Cited by
- 9
- References
- 14
- Citations by year
- 2026: 2 · 2024: 1 · 2022: 2 · 2021: 3 · 2019: 1
- FWCI
- 1.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Surgical Pathology (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
- catamenial pneumothorax, CD10, estrogen receptor, progesterone receptor, endometriosis, visceral pleura, recurrent pneumothorax, histopathological diagnosis, lung resection specimens
- MeSH terms
- Adult, Biopsy, Female, Humans, Lung, Pneumothorax, Receptors, Estrogen, Receptors, Progesterone, Neprilysin, Biomarkers, Thoracic Surgery, Video-Assisted
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