Obstet Gynecol Sci.  2017 Mar;60(2):236-239. 10.5468/ogs.2017.60.2.236.

Catamenial hemoptysis accompanied by subcutaneous endometriosis treated with combination therapy

• Jang HI
• Kim SE
• Kim TJ
• Lee YY
• Choi CH
• Lee JW
• Kim BG
• Bae DS

• KMID: 2372812
• DOI: http://doi.org/10.5468/ogs.2017.60.2.236

Abstract

Extra pelvic endometriosis is considered to be rare. This paper reports a case of catamenial hemoptysis accompanied by subcutaneous endometriosis in 26-year-old woman. A computed tomography scan of the chest revealed a focal ground-glass opacity lesion in the posterior segment of the right upper lobe. Histopathology confirmed the diagnosis of endometriosis of right lung and concurrent subcutaneous endometriosis. She was treated with surgical resection of the endometriosis lesions on two different sites and perioperative gonadotropin-releasing hormone agonist therapy. The 6-month follow-up after combination treatment showed no recurrence. Though long-term follow-up result is needed, aggressive treatment using combination treatment (surgery and perioperative medication) should be considered for symptomatic extra pelvic endometriosis.

Keyword

Catemenial; Combination therapy; Drug therapy; Endometriosis; Hemoptysis

MeSH Terms

Adult
Diagnosis
Drug Therapy
Endometriosis*
Female
Follow-Up Studies
Gonadotropin-Releasing Hormone
Hemoptysis*
Humans
Lung
Recurrence
Thorax
Gonadotropin-Releasing Hormone

Figure

• 

  Fig. 1 Chest computed tomography scan demonstrating a lobular-shaped focal ground-glass opacity in the posterior segment of the right upper lung (arrow). A, anterior; P, posterior.

• 

  Fig. 2 (A) Microscopic image showing the endometrial glands and stroma in the lung parenchyma, and the air spaces filled with blood and hemosiderin-laden macrophages (H&E, ×50). (B) Immunohistochemistry image showing that the endometrial stromal cells were strongly positive for CD10 (×100).

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