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KMID : 0383820080650010029
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Tuberculosis and Respiratory Diseases
2008 Volume.65 No. 1 p.29 ~ p.33
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Catamenial Hemoptysis Treated by Video-assisted Thoracoscopic Surgery
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Cho Chang-Beom
Lee Jae-Woong
Chung Ki-Suck
Kim Dong-Gyu
Kim Chang-Hwan
Jang Seung-Hun
Park Ji-Young
Lee Seok-Won
Jun Sun-Young
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Abstract
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Catamenial hemoptysis is a rare condition that’s characterized by recurrent hemoptysis occurring in association with menstruation, and this is associated with the presence of intrapulmonary or endobronchial endometrial tissue. The diagnosis of pulmonary endometriosis can be made according to a typical clinical history and with exclusion of other causes of recurrent hemoptysis. Treatment of pulmonary endometriosis can be medical or surgical; however, the optimal management of this condition is still a matter of debate. Medical therapy may be problematic, due to recurrence of symptoms despite hormonal ablation, and adverse effects from long-term hormone therapy can also be a problem. We report here on a case of pulmonary endometriosis in a 23-year-old woman who presented with hemoptysis that occurred during the first 3 days of menstruation, and this happened over a 4 month period. She was successfully treated by video-assisted thoracoscopic surgery (VATS). No more hemoptysis was noted during 12 months of follow-up. (Tuberc Respir Dis 2008;65:29-33)
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KEYWORD
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Catamenial hemoptysis, Pulmonary endometriosis, Video-assisted thoracoscopic surgery, VATS
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