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Ann Thorac Surg 2006;81:761-769
© 2006 The Society of Thoracic Surgeons


Review

Thoracic Endometriosis: Current Knowledge

Marco Alifano, MD a , b , * , Rocco Trisolini, MD c , Alessandra Cancellieri, MD d , Jean François Regnard, MD a

a Department of Thoracic Surgery, Hotel-Dieu, AP-HP, Paris, France
b Department of Thoracic Surgery, Ospedale Maggiore, Bologna, Italy
c Department of Thoracic Endoscopy, Ospedale Maggiore, Bologna, Italy
d Department of Pathology, Ospedale Maggiore, Bologna, Italy

Accepted for publication July 13, 2005.

* Address correspondence to Dr Alifano, Unitè de Chirurgie Thoracique, Hôtel-Dieu, 1, Place du Parvis Notre-Dame, 75181 Paris, France (Email: marcoalifano{at}yahoo.com).

Thoracic endometriosis syndrome includes four well-recognized clinical entities, namely catamenial pneumothorax, catamenial hemothorax, catamenial hemoptysis and lung nodules, as well as some exceptional presentations. The etiological mechanisms of this syndrome are not well understood, and different theories have been proposed. Controversies exist about optimal management, as experience has been drawn from case reports and small clinical series. Surgery, hormonal treatments and combined approaches have all been proposed, with variable results in terms of short and long term outcome.




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