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Pulmonary endometriosis as a form of endometrial disease

https://doi.org/10.18093/0869-0189-2016-26-4-459-465

Abstract

The aim of this study was to analyze our own experience of diagnosis and treatment of pulmonary endometriosis. Methods. Females with endometriosis (n = 11) has been described in the article. The patients’ age ranged from 16 to 61 year, the mean age was 37.7 ± 2.7 years. Results. Serious difficulties were encountered in all cases in differential diagnosis of pulmonary lesions. Clinical, laboratory and radiological findings were not sufficient for diagnosis. Diagnostic surgical interventions were required in all cases. Pulmonary endometriosis was diagnosed using histological and immunohistochemical examination of lung biopsy specimens. Diagnostic workup has been illustrated by two case reports of pulmonary endometriosis in patients of 52 and 19 years of age. Conclusion. The management of patients with extragenital endometriosis depends on pathological and immunohistochemical findings, location and extend of injury. Such patients should be managed together by a gynecologist and a thoracic surgeon.

About the Authors

I. V. Dvorakovskaya
Research Pulmonology Institute, Academician I.P.Pavlov First Saint-Petersburg State Medical University, Healthcare Ministry of Russia: 6 – 8, build. 44, L'va Tolstogo str., Saint-Petersburg, 197022, Russia;
Russian Federation

MD, Chief Scientist, Academician I.P.Pavlov First Saint-Petersburg State Medical University, Healthcare Ministry of Russia; tel.: (812) 338-78-90;



V. A. Pechennikova
I.I.Mechnikov State North-West Medical University, Healthcare Ministry of Russia: 47, Piskarevskiy av., Saint Petersburg, 195067, Russia;
Russian Federation

MD, Professor at Department of Obstetrics and Gynecology, I.I.Mechnikov State North-West Medical University, Healthcare Ministry of Russia; tel.: (812) 543-59-53;



B. M. Ariel'
Saint-Petersburg City State Pathological Bureau: 5, Uchebnyy side street, Saint Petersburg, 194354, Russia;
Russian Federation

MD, Professor, Member of Council Board of Saint-Petersburg Pathological Service in Saint-Petersburg City State Pathological Bureau; tel.: (812) 513-60-98;



I. S. Platonova
Research Pulmonology Institute, Academician I.P.Pavlov First Saint-Petersburg State Medical University, Healthcare Ministry of Russia: 6 – 8, build. 44, L'va Tolstogo str., Saint-Petersburg, 197022, Russia;
Russian Federation

PhD, Senior Researcher at Academician I.P.Pavlov First Saint-Petersburg State Medical University, Healthcare Ministry of Russia; tel.: (812) 338-78-90;



L. N. Novikova
Research Pulmonology Institute, Academician I.P.Pavlov First Saint-Petersburg State Medical University, Healthcare Ministry of Russia: 6 – 8, build. 44, L'va Tolstogo str., Saint-Petersburg, 197022, Russia;
Russian Federation

PhD, Associate Professor at Department of Pulmonology, Academician I.P.Pavlov First Saint-Petersburg State Medical University, Healthcare Ministry of Russia; tel.: (812) 338-78-68;



O. V. Orzheshkovskiy
Saint-Petersburg Federal State University: 8, Vasil'evskiy Island, 21st line, Saint-Petersburg, 199016, Russia; City State Multidisciplinary Hospital No.2: 5, Uchebnyy side street, Saint Petersburg, 194354, Russia;
Russian Federation

PhD, Associate Professor at Department of Hospital Surgery, Saint-Petersburg Federal State University; Thoracic Surgeon at City State Multidisciplinary Hospital No. 2; tel.: (812) 591-82-95;



A. A. Pichurov
City State Multidisciplinary Hospital No.2: 5, Uchebnyy side street, Saint Petersburg, 194354, Russia; Saint-Petersburg Federal Research Institute of Phthisiology and Pulmonology, Healthcare Ministry of Russia: 2 – 4, Ligovskiy av.,Saint-Petersburg, 191036, Russia
Russian Federation

PhD, Thoracic Surgeon at City State Multidisciplinary Hospital No. 2; Saint-Petersburg Federal Research Institute of Phthisiology and Pulmonology, Healthcare Ministry of Russia; tel.: (812) 591-82-95;



P. K. Yablonskiy
Saint-Petersburg Federal State University: 8, Vasil'evskiy Island, 21st line, Saint-Petersburg, 199016, Russia; Saint-Petersburg Federal Research Institute of Phthisiology and Pulmonology, Healthcare Ministry of Russia: 2 – 4, Ligovskiy av.,Saint-Petersburg, 191036, Russia
Russian Federation

MD, Professor, Head of Department of Surgical Diseases, Dean of Medical Faculty at Saint-Petersburg Federal State University, Director of Saint-Petersburg Federal Research Institute of Phthisiology and Pulmonology, Healthcare Ministry of Russia; tel.: (812) 579-25-54;



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Review

For citations:


Dvorakovskaya I.V., Pechennikova V.A., Ariel' B.M., Platonova I.S., Novikova L.N., Orzheshkovskiy O.V., Pichurov A.A., Yablonskiy P.K. Pulmonary endometriosis as a form of endometrial disease. PULMONOLOGIYA. 2016;26(4):459-465. (In Russ.) https://doi.org/10.18093/0869-0189-2016-26-4-459-465

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ISSN 0869-0189 (Print)
ISSN 2541-9617 (Online)