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Pulmonary cavitations with increased (18)F-FDG uptake revealing a thoracic endometriosis: A case report

RATIONALE: Thoracic endometriosis is a rare disorder that can involve airways, pleura and lung parenchyma. It is the most frequent form of extra-abdominopelvic endometriosis. Multiple lung cavitations are a rare feature of thoracic endometriosis. PATIENT CONCERNS: A 46-year-old woman was referred to...

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Detalles Bibliográficos
Autores principales: Mulette, Pauline, Jacquet, Amaury, Durlach, Anne, Papathanassiou, Dimitri, Lalire, Paul, Graesslin, Olivier, Delepine, Gonzague, Dury, Sandra, Dormoy, Valérian, Perotin, Jeanne-Marie, Lebargy, François, Deslée, Gaëtan, Launois, Claire
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8542117/
https://www.ncbi.nlm.nih.gov/pubmed/34678890
http://dx.doi.org/10.1097/MD.0000000000027550
Descripción
Sumario:RATIONALE: Thoracic endometriosis is a rare disorder that can involve airways, pleura and lung parenchyma. It is the most frequent form of extra-abdominopelvic endometriosis. Multiple lung cavitations are a rare feature of thoracic endometriosis. PATIENT CONCERNS: A 46-year-old woman was referred to our hospital after incidental finding of multiple pulmonary cavitations with surrounding areas of ground glass opacity on a thoraco-abdominal computed tomography-scan performed for abdominal pain. Retrospectively, the patient also reported mild hemoptysis occurring 4 months ago. DIAGNOSES: Positron emission tomography–computed tomography scan revealed moderate and homogeneous [(18)F] fluoro-2-deoxy-D-glucose ((18)F-FDG) uptake in pulmonary cavitations (maximum standardized uptake value 5.7). The diagnosis of thoracic endometriosis was confirmed by histological examination of surgical resection of a left lower lobe cavitation. INTERVENTIONS AND OUTCOME: Gonadotropin-releasing hormone analogues associated with add-back therapy was started. Four months after initiating pharmacological treatment, the chest computed tomography-scan showed a dramatic decrease in lung cavitations size. LESSONS: Thoracic endometriosis is a rare disorder requiring a multidisciplinary management including gynaecologist, pulmonologist, radiologist, nuclear physician, pathologist and thoracic surgeon for early diagnosis and treatment. Our case report highlights that an increased (18)F-FDG uptake can be found in thoracic endometriosis syndrome presenting as multiple lung cavitations.