胸腔子宫内膜异位症

定义

胸腔子宫内膜异位症病变可影响膈肌、胸膜、肺和支气管。右半胸可能有更大亲和力，肺实质在下肺叶更常受累。肉眼观察，子宫内膜异位植入物呈棕黄色，有时呈红色结节，周围有新生血管。症状包括：呼吸困难、气短、心跳加快、咳血和各种疼痛模式，包括肩胛骨、胸部、同侧颈部和肩部、上腹部和上腹。 胸腔子宫内膜异位症可表现为月经性气胸（月经后72小时内发生的复发性气胸）、支气管部位咯血、血胸、心包积液。当子宫内膜间质和腺体同时存在时，胸腔子宫内膜异位症的诊断很简单。在仅有间质的子宫内膜异位症病例中，可能需要进一步的“聚集型”分类，其中免疫组化ER-、PR-和CD10阳性可能是诊断所必需的。

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.

除外词 明确排除、需编到其他条目的情况

• 心脏子宫内膜异位症GA10.E

索引词 可用于检索该条目的同义词与别名

• 胸腔子宫内膜异位症
• 胸腔子宫内膜异位综合征
• 胸部子宫内膜异位症
• 膈子宫内膜异位症
• 膈子宫内膜异位症