Thoracic endometriosis syndrome.
1National Cardiothoracic Centre, P O Box KB 846, Korle Bu, Accra, Ghana.
West African Journal of Medicine
|February 4, 2014
Summary
Thoracic endometriosis, a rare condition, may be more common in West Africa. This study highlights its varied presentation and satisfactory treatment outcomes with a multidisciplinary approach.
Area of Science:
- Reproductive Medicine
- Thoracic Surgery
- Gynecologic Pathology
Background:
- Thoracic endometriosis syndrome (TES) is a rare condition involving intrathoracic endometrial tissue, with limited reports from African centers.
- Existing theories do not fully explain the diverse clinical presentations of TES.
- This study addresses the scarcity of data on TES in West Africa.
Purpose of the Study:
- To detail the demographics, pathological findings, and treatment outcomes for patients with intrathoracic endometriosis at a West African center.
- To contribute to the understanding of TES prevalence and characteristics in the region.
Main Methods:
- Retrospective review of 12 women diagnosed with intrathoracic endometriosis at Ghana's National Cardiothoracic Centre (2004-2012).
- Analysis of patient demographics, associated endometriosis locations, prior surgical history, and thoracic manifestations.
- Review of treatment modalities, including pleurodesis and hormonal therapy.
Main Results:
- Patients ranged from 24-39 years (mean 32 ± 5).
- Pelvic endometriosis was present in 66.7%, with ectopic endometrial tissue also found at the umbilicus (16.7%) and mons pubis (16.7%).
- 58.3% had prior uterine surgery. All 12 patients had right hemithorax involvement, with 50% experiencing pneumothorax, 41.7% hemothorax, and 8.3% hemopneumothorax.
Conclusions:
- Thoracic endometriosis might be underreported in West Africa.
- A multidisciplinary treatment strategy yields satisfactory outcomes for thoracic endometriosis.
- Further research is needed to elucidate the pathophysiology and optimize management of TES.
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