Tuberc Respir Dis.  1999 Sep;47(3):389-393.

Pulmonary Endometriosis

Affiliations
  • 1Department of Internal Medicine, Yonsei University College of Medicine, Korea. hjkim57@yumc.yonsei.ac.kr
  • 2Department of Pathology, Yonsei University College of Medicine, Korea.
  • 3Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Korea.

Abstract

Endometriosis is defined as an extrauterine growth of endometrial tissue and it is primarily limited in the pelvis but it can also occur in the pleural cavity as well as pulmonary parenchyme. The diagnosis of pulmonary endometriosis is usually based on the clinical history of recurrent hemoptysis in association with menstrual cycle and by histopathologic confirmation of endometrial tissue in the lung parenchyme. Pulmonary endometriosis was first reported by Lattes in 1956, and dozens of cases have been reported so far. We experienced a case of 25 year old single woman with a history of hemoptysis in association with her menstruation. The bleeding focus was localized with chest CT scan and repeated fibrooptic bronchoscopy and basal segmentectomy of the right lower lobe was performed. The resected specimen shows endometrial stroma and glands of early proliferative phase with respiratory epithelium on the laterobasal bronchus. Her postoperative course was uneventful with no recurrence of hemoptysis during 6 months of follow-up in the outpatient clinic.

Keyword

Pulmonary endometriosis; Histopathologic confirmation

MeSH Terms

Adult
Ambulatory Care Facilities
Bronchi
Bronchoscopy
Diagnosis
Endometriosis*
Female
Follow-Up Studies
Hemoptysis
Hemorrhage
Humans
Lung
Mastectomy, Segmental
Menstrual Cycle
Menstruation
Pelvis
Pleural Cavity
Recurrence
Respiratory Mucosa
Tomography, X-Ray Computed
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