胸腔子宮內膜異位癥致血性胸腔積液一例并文獻復習_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

馮銀合 ^1,2 , 楊曉婭 ¹ , 曾春芳 ² ,  毛輝 ¹

1. ;
2. ;

Corresponding?author：

毛輝, Email: merrymh@126.com

Keywords：

子宮內膜異位癥; 胸腔子宮內膜異位癥; 胸腔積液

DOI：

10.7507/1671-6205.202102025

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的拓展血性胸腔積液的鑒別診斷范疇，加深臨床醫師對胸腔子宮內膜異位癥的認識，為其診斷、治療提供有價值的參考。方法報道1例罕見的胸腔子宮內膜異位癥致血性胸腔積液患者的診治經過，并在PubMed數據庫以胸腔子宮內膜異位癥為關鍵詞進行文獻檢索予以文獻復習。結果該患者血性胸腔積液于外院初診為癌性胸腔積液，入院后經胸腔鏡獲取病理組織行病理活檢和免疫組織化后明確診斷為胸腔子宮內膜異位癥，通過胸腔置管引流及促性腺激素釋放激素類似物治療后目前隨訪3個月暫未見復發。檢索相關文獻發現，胸腔子宮內膜異位癥導致血性胸腔積液患者臨床罕見，發病機制不明確，缺乏特異的癥狀及影像學特征，其診斷需基于臨床表現、影像學及病理活檢，治療需依據病情合理選擇藥物及手術，但該病復發率較高。結論胸腔子宮內膜異位癥為胸腔積液的罕見病因，需加深對其認識避免誤診及漏診，對于癥狀與月經周期存在時間關系、右側胸腔病變、育齡期女性、病情反復的患者臨床需謹慎排除。

Citation： 馮銀合, 楊曉婭, 曾春芳, 毛輝. 胸腔子宮內膜異位癥致血性胸腔積液一例并文獻復習. Chinese Journal of Respiratory and Critical Care Medicine, 2021, 20(10): 734-737. doi: 10.7507/1671-6205.202102025 Copy

1.	Nezhat C, Lindheim SR, Backhus L, et al. Thoracic endometriosis syndrome: a review of diagnosis and management. JSLS, 2019, 23(3): e2019.00029.
2.	Nezhat C, Li A, Abed S, et al. Strong association between endometriosis and symptomatic leiomyomas. JSLS, 2016, 20(3): e2016.00053.
3.	Yukumi S, Suzuki H, Morimoto M, et al. A case of thoracic endometriosis-related pneumothorax in a menopausal woman. Gen Thorac Cardiovasc Surg, 2020, 68(12): 1584-1586.
4.	Nezhat C, Li A, Falik R, et al. Bowel endometriosis: diagnosis and management. Am J Obstet Gynecol, 2018, 218(6): 549-562.
5.	Yovich JL, Rowlands PK, Lingham S, et al. Pathogenesis of endometriosis: look no further than John Sampson. Reprod Biomed Online, 2020, 40(1): 7-11.
6.	Lutz K, Raimund D, Kumar KP, et al. Endometriosis in MRKH cases as a proof for the coelomic metaplasia hypothesis. Reproduction (Cambridge, England), 2019, 158(2): R41-R47.
7.	Konrad L, Dietze R, Riaz MA, et al. Epithelial-mesenchymal transition in endometriosis-when does it happen. J Clin Med, 2020, 9(6): 1915.
8.	Hirata T, Koga K, Osuga Y. Extra-pelvic endometriosis: a review. Reprod Med Biol, 2020, 19(4): 323-333.
9.	Andres MP, Arcoverde F, Souza C, et al. Extrapelvic endometriosis: a systematic review. J Minim Invasive Gynecol, 2020, 27(2): 373-389.
10.	Legras A, Mansuet-Lupo A, Rousset-Jablonski C, et al. Pneumothorax in women of child-bearing age: an update classification based on clinical and pathologic findings. Chest, 2014, 145(2): 354-360.
11.	Rousset P, Rousset-Jablonski C, Alifano M, et al. Thoracic endometriosis syndrome: CT and MRI features. Clin Radiol, 2014, 69(3): 323-330.
12.	Rousset P, Gregory J, Rousset-Jablonski C, et al. MR diagnosis of diaphragmatic endometriosis. Eur Radiol, 2016, 26(11): 3968-3977.
13.	McCann MR, Schenk WB, Nassar A, et al. Thoracic endometriosis presenting as a catamenial hemothorax with discordant video-assisted thoracoscopic surgery. Radiol Case Rep, 2020, 15(9): 1419-1422.
14.	Korom S, Canyurt H, Missbach A, et al. Catamenial pneumothorax revisited: clinical approach and systematic review of the literature. J Thorac Cardiovasc Surg, 2004, 128(4): 502-508.
15.	Sun H, Fukuda S, Hirata T, et al. IFITM1 is a novel, highly sensitive marker for endometriotic stromal cells in ovarian and extragenital endometriosis. Reprod Sci, 2020, 27(8): 1595-1601.
16.	Mataca E, Rossi G, Colby TV. The helpful role of CD10 and hormonal receptors co-expression in the histologic diagnosis of catamenial pneumothorax. Int J Surg Pathol, 2019, 27(6): 593-597.
17.	Arakawa T, Fukuda S, Hirata T, et al. PAX8: a highly sensitive marker for the glands in extragenital endometriosis. Reprod Sci, 2020, 27(8): 1580-1586.
18.	Mecha E, Makunja R, Maoga JB, et al. The importance of stromal endometriosis in thoracic endometriosis. Cells, 2021, 10(1): 180.
19.	Azizad-Pinto P, Clarke D. Thoracic endometriosis syndrome: case report and review of the literature. Perm J, 2014, 18(3): 61-65.
20.	Marshall MB, Ahmed Z, Kucharczuk JC, et al. Catamenial pneumothorax: optimal hormonal and surgical management. Eur J Cardiothorac Surg, 2005, 27(4): 662-666.
21.	Zhen Q, Xu Y, Li Q, et al. Thoracic endometriosis with catamenial hemoptysis and hemothorax: long-term follow-up after GnRH-a treatment. J Thorac Oncol, 2019, 14(11): e253-e257.
22.	Lee HT, Wang HC, IaT H, et al. Endometriosis associated with hemothorax. J Chin Med Assoc, 2006, 69(1): 42-46.
23.	Sharma N, Todhe P, Ochieng P, et al. Refractory thoracic endometriosis. BMJ Case Rep, 2020, 13(8): e235965.
24.	Ciriaco P, Muriana P, Lembo R, et al. Treatment of thoracic endometriosis syndrome: a meta-analysis and review. Ann Thorac Surg, 2020, 4975(20): 32117.
25.	Fukuda S, Hirata T, Neriishi K, et al. Thoracic endometriosis syndrome: comparison between catamenial pneumothorax or endometriosis-related pneumothorax and catamenial hemoptysis. Eur J Obstet Gynecol Reprod Biol, 2018, 225: 118-123.
26.	馬玉燕, 潘鈺, 高曉東, 等. 肺子宮內膜異位癥4例報告并文獻復習. 中國臨床醫學雜志, 2018, 25(3): 498-502.

1. Nezhat C, Lindheim SR, Backhus L, et al. Thoracic endometriosis syndrome: a review of diagnosis and management. JSLS, 2019, 23(3): e2019.00029.
2. Nezhat C, Li A, Abed S, et al. Strong association between endometriosis and symptomatic leiomyomas. JSLS, 2016, 20(3): e2016.00053.
3. Yukumi S, Suzuki H, Morimoto M, et al. A case of thoracic endometriosis-related pneumothorax in a menopausal woman. Gen Thorac Cardiovasc Surg, 2020, 68(12): 1584-1586.
4. Nezhat C, Li A, Falik R, et al. Bowel endometriosis: diagnosis and management. Am J Obstet Gynecol, 2018, 218(6): 549-562.
5. Yovich JL, Rowlands PK, Lingham S, et al. Pathogenesis of endometriosis: look no further than John Sampson. Reprod Biomed Online, 2020, 40(1): 7-11.
6. Lutz K, Raimund D, Kumar KP, et al. Endometriosis in MRKH cases as a proof for the coelomic metaplasia hypothesis. Reproduction (Cambridge, England), 2019, 158(2): R41-R47.
7. Konrad L, Dietze R, Riaz MA, et al. Epithelial-mesenchymal transition in endometriosis-when does it happen. J Clin Med, 2020, 9(6): 1915.
8. Hirata T, Koga K, Osuga Y. Extra-pelvic endometriosis: a review. Reprod Med Biol, 2020, 19(4): 323-333.
9. Andres MP, Arcoverde F, Souza C, et al. Extrapelvic endometriosis: a systematic review. J Minim Invasive Gynecol, 2020, 27(2): 373-389.
10. Legras A, Mansuet-Lupo A, Rousset-Jablonski C, et al. Pneumothorax in women of child-bearing age: an update classification based on clinical and pathologic findings. Chest, 2014, 145(2): 354-360.
11. Rousset P, Rousset-Jablonski C, Alifano M, et al. Thoracic endometriosis syndrome: CT and MRI features. Clin Radiol, 2014, 69(3): 323-330.
12. Rousset P, Gregory J, Rousset-Jablonski C, et al. MR diagnosis of diaphragmatic endometriosis. Eur Radiol, 2016, 26(11): 3968-3977.
13. McCann MR, Schenk WB, Nassar A, et al. Thoracic endometriosis presenting as a catamenial hemothorax with discordant video-assisted thoracoscopic surgery. Radiol Case Rep, 2020, 15(9): 1419-1422.
14. Korom S, Canyurt H, Missbach A, et al. Catamenial pneumothorax revisited: clinical approach and systematic review of the literature. J Thorac Cardiovasc Surg, 2004, 128(4): 502-508.
15. Sun H, Fukuda S, Hirata T, et al. IFITM1 is a novel, highly sensitive marker for endometriotic stromal cells in ovarian and extragenital endometriosis. Reprod Sci, 2020, 27(8): 1595-1601.
16. Mataca E, Rossi G, Colby TV. The helpful role of CD10 and hormonal receptors co-expression in the histologic diagnosis of catamenial pneumothorax. Int J Surg Pathol, 2019, 27(6): 593-597.
17. Arakawa T, Fukuda S, Hirata T, et al. PAX8: a highly sensitive marker for the glands in extragenital endometriosis. Reprod Sci, 2020, 27(8): 1580-1586.
18. Mecha E, Makunja R, Maoga JB, et al. The importance of stromal endometriosis in thoracic endometriosis. Cells, 2021, 10(1): 180.
19. Azizad-Pinto P, Clarke D. Thoracic endometriosis syndrome: case report and review of the literature. Perm J, 2014, 18(3): 61-65.
20. Marshall MB, Ahmed Z, Kucharczuk JC, et al. Catamenial pneumothorax: optimal hormonal and surgical management. Eur J Cardiothorac Surg, 2005, 27(4): 662-666.
21. Zhen Q, Xu Y, Li Q, et al. Thoracic endometriosis with catamenial hemoptysis and hemothorax: long-term follow-up after GnRH-a treatment. J Thorac Oncol, 2019, 14(11): e253-e257.
22. Lee HT, Wang HC, IaT H, et al. Endometriosis associated with hemothorax. J Chin Med Assoc, 2006, 69(1): 42-46.
23. Sharma N, Todhe P, Ochieng P, et al. Refractory thoracic endometriosis. BMJ Case Rep, 2020, 13(8): e235965.
24. Ciriaco P, Muriana P, Lembo R, et al. Treatment of thoracic endometriosis syndrome: a meta-analysis and review. Ann Thorac Surg, 2020, 4975(20): 32117.
25. Fukuda S, Hirata T, Neriishi K, et al. Thoracic endometriosis syndrome: comparison between catamenial pneumothorax or endometriosis-related pneumothorax and catamenial hemoptysis. Eur J Obstet Gynecol Reprod Biol, 2018, 225: 118-123.
26. 馬玉燕, 潘鈺, 高曉東, 等. 肺子宮內膜異位癥4例報告并文獻復習. 中國臨床醫學雜志, 2018, 25(3): 498-502.

Chinese Journal of Respiratory and Critical Care Medicine

胸腔子宮內膜異位癥致血性胸腔積液一例并文獻復習

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content