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Ann Thorac Surg 2004;77:2204-2206
© 2004 The Society of Thoracic Surgeons

Case report

Pulsating thoracic tumor caused by extragenital endometriosis in a patient with Noonan syndrome

Theresa Seeliger, MDa*, Jens-Uwe Voigt, MDa, Helmut Singer, MDb, Werner G. Daniel, MDa, Holger Rupprecht, MDc

a Department of Internal Medicine II, University Erlangen-Nürnberg, Erlangen, Germany
b Department of Pediatric Cardiology, University Erlangen-Nürnberg, Erlangen, Germany
c Department of Surgery, Municipal Hospital Hof, Hof, Germany

Accepted for publication June 6, 2003.

* Address reprint requests to Dr Seeliger, Department of Internal Medicine II, University Erlangen-Nürnberg, Ulmenweg 18, D-91054 Erlangen, Germany
e-mail: theresaseeliger{at}aol.com

We present the case of a 36-year-old woman with Noonan syndrome and congenital heart disease in whom extragenital endometriosis caused an extraordinarily large jelly-like paracardiac and abdominal mass. Protrusion through an intercostal space caused a pulsating subcutaneous tumor on the left lateral thoracic wall. The patient never complained of menstruation-related pain. Histology obtained during several prior surgical interventions had been inconclusive. Thus definitive diagnosis was delayed for years. A literature review revealed no known association between Noonan syndrome and endometriosis.






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