A Case of Pulmonary Endometriosis - a Rare Case Report and a Successful Treatment Experience

肺實質子官內膜異位症－病例報告及成功的治療經驗

郭秋虎(Chiu-Hu Kuo) ； 蔡英美(Eing-Mei Tsai) ； 周峻義(Chun-I Chou) ； 陳鴻昇(Hung-Sheng Chen) ； 蘇鈞煌( Jinu-Huang Su)

《The Kaohsiung Journal of Medical Sciences》 17卷5期 (2001/05) Pp. 278-281

https://doi.org/10.6452/KJMS.200105.0278

摘要

子宮內膜異位症是指子宮內膜腺體及間質生長於子宮內膜以外的地方，大約有10％～15％的生育生齡婦女有此疾病。子宮內膜異位症可見於骨盆腔內、腹腔內、腸道內及鼻腔或氣管中等，最常見的病灶處是骨盆腔中。直至1998年12月，文獻報告提及骨盆腔外子宮內膜異位症僅有85例，而其中胸腔中子宮內膜異位症的病例約佔一半。學者Schwarz於1928年首先提出第一例胸腔子宮內膜異位症。GnRH催動素開始用於這類疾病的治療約只有五年時間。我們報告一位21歲年輕女性罹患肺實質子宮內膜異位症的病例，詳細討論臨床症狀，及月經來潮前與來潮時的影像學對照比較。並把使用GnRH催動素的成功經驗及副作用治療方法加以討論，並對舊有文獻資料做一回顧。

並列摘要

Endometriosis is a common disease found in reproductive age Women, but pulmonary endometriosis is rare. We present a 21-year-old female with catamenial chest pain, chest tightness, severe cough, and hemoptysis. Though we could not find any definite intrapulmonary endometriotic lesion by computed tomography and bronchoscope, she was diagnosed to have pulmonary endometriosis due to the typical clinical symptoms. After 6 months of GnRH agonist application, the symptoms were completely relieved. She has been followed up and has been symptoms free for at least 6 months after administration of GnRH agonist.

並列關鍵字

pulmonary endometriosis ； ectopic endometriosis ； leupron