Thoracic endometriosis (Q44888): Difference between revisions
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Lesões da endometriose torácica podem afetar o diafragma, a pleura, o pulmão e os brônquios. Pode haver maior afinidade pelo hemitórax direito e o parênquima é mais comumente afetado nos lobos inferiores. Macroscopicamente, os implantes endometrióticos aparecem como nódulos marrom-amarelados e às vezes vermelhos cercados por neovascularização. Os sintomas incluem: dispneia, falta de ar, taquicardia, tosse com sangue e uma variedade de padrões de dor que incluem escápula, tórax, pescoço e ombro ipsilaterais, abdome superior e epigastro. A endometriose torácica pode se manifestar com pneumotórax catamenial (pneumotórax recorrente ocorrendo em até 72 horas após a menstruação), hemoptise em caso de localização brônquica, hemotórax, derrames pericárdicos. O diagnóstico de endometriose torácica é simples quando estroma e glândulas endometriais estão presentes. Em casos de endometriose apenas com estroma, uma classificação adicional de “padrão agregado”, em que a imuno-histoquímica é ER-, PR- e CD10-positiva pode ser necessária para o diagnóstico. | |||
| description / en | description / en | ||
Thoracic endometriosis lesions can affect the diaphragm, pleura, lung and bronchi. There may be a greater affinity for the right hemi thorax, and the parenchyma is more commonly affected in the lower lobes. Macroscopically, the endometriotic implants appear as brown–yellow and sometimes red nodules surrounded by neovascularization. Symptoms include: dyspnea, shortness of breath, rapid heartbeat, coughing up blood and a variety of pain patterns to include scapula, chest, ipsilateral neck and shoulder, upper abdominal and epigastric. Thoracic endometriosis may present with catamenial pneumothorax (recurrent pneumothorax occurring within 72 hours of menstruation), haemoptysis in case of bronchial location, haemothorax, pericardial effusions. A diagnosis of thoracic endometriosis is simple when both endometrial stroma and gland are present. In cases of endometriosis with stroma only, a further classification of “aggregated pattern”, in which immunohistochemistry is ER-, PR- and CD10-positive might be necessary for diagnosis. | |||
Revision as of 12:36, 13 August 2026
Thoracic endometriosis lesions can affect the diaphragm, pleura, lung and bronchi. There may be a greater affinity for the right hemi thorax, and the parenchyma is more commonly affected in the lower lobes. Macroscopically, the endometriotic implants appear as brown–yellow and sometimes red nodules surrounded by neovascularization. Symptoms include: dyspnea, shortness of breath, rapid heartbeat, coughing up blood and a variety of pain patterns to include scapula, chest, ipsilateral neck and shoulder, upper abdominal and epigastric. Thoracic endometriosis may present with catamenial pneumothorax (recurrent pneumothorax occurring within 72 hours of menstruation), haemoptysis in case of bronchial location, haemothorax, pericardial effusions. A diagnosis of thoracic endometriosis is simple when both endometrial stroma and gland are present. In cases of endometriosis with stroma only, a further classification of “aggregated pattern”, in which immunohistochemistry is ER-, PR- and CD10-positive might be necessary for diagnosis.
| Language | Label | Description | Also known as |
|---|---|---|---|
| default for all languages | GA10.G |
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| English | Thoracic endometriosis |
Thoracic endometriosis lesions can affect the diaphragm, pleura, lung and bronchi. There may be a greater affinity for the right hemi thorax, and the parenchyma is more commonly affected in the lower lobes. Macroscopically, the endometriotic implants appear as brown–yellow and sometimes red nodules surrounded by neovascularization. Symptoms include: dyspnea, shortness of breath, rapid heartbeat, coughing up blood and a variety of pain patterns to include scapula, chest, ipsilateral neck and shoulder, upper abdominal and epigastric. Thoracic endometriosis may present with catamenial pneumothorax (recurrent pneumothorax occurring within 72 hours of menstruation), haemoptysis in case of bronchial location, haemothorax, pericardial effusions. A diagnosis of thoracic endometriosis is simple when both endometrial stroma and gland are present. In cases of endometriosis with stroma only, a further classification of “aggregated pattern”, in which immunohistochemistry is ER-, PR- and CD10-positive might be necessary for diagnosis. |
