Pathology of the Pleura and Mediastinum

2018 Edition
| Editors: Timothy Craig Allen, Saul Suster

Endometriosis, Pleural

  • Pamela HayesEmail author
  • Timothy Craig Allen
Reference work entry


TES; Thoracic endometriosis syndrome


Endometriosis is the development of endometrial tissue outside the uterus. Thoracic endometriosis syndrome (TES) describes the rare condition of endometrial growth within the pleural space, the diaphragm, and the lung tissue or structures. Common clinical and radiographic presentations include catamenial pneumothorax (CP), catamenial hemothorax (CHt), catamenial hemoptysis (CH), and lung nodules. Catamenial pneumothorax is the most commonly observed complication and often is present with disease or congenital defects of the diaphragm. Catamenial hemothorax occurs in about 14% of TES patients. The amount of blood loss varies between patients, but severe anemiamay develop. Cyclical hemoptysis and lung nodules are typically only present if endometriosis occurs within the lung tissue on tracheobronchial tree. Symptoms tend to occur within 72 h of the start of menstruation and may include nonspecific cough, shortness of breath, and...

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References and Further Reading

  1. Alifano, M., Trisolini, R., Cancellieri, A., & Regnard, J. F. (2006). Thoracic endometriosis: current knowledge. The Annals of Thoracic Surgery, 81, 761–769.CrossRefPubMedGoogle Scholar
  2. Bagan, P., Berna, P., Assouad, J., Hupertan, V., Barthes, L. P., & Riquet, M. (2008). Value of cancer antigen 125 for diagnosis of pleural endometriosis in females with recurrent pneumothorax. European Respiratory Journal, 31, 140–142.CrossRefPubMedGoogle Scholar
  3. Bowman, R., Rosenblatt, R., & Myers, L. (1999). Pleural endometriosis. BUMC Proceedings, 12, 193–197.Google Scholar
  4. Lokeshwaran, S., Rajesh, V., & Mehta, A. (2011). Pleural endometriosis. Pulmon, 13, 34–37.Google Scholar
  5. Moffatt, S. D., & Mitchell, J. (2002). Massive pleural endometriosis. European Journal of Cardio-thoracic Surgery, 22, 321–323.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.University of Texas Medical BranchGalvestonUSA
  2. 2.Department of Pathology, The University of Mississippi Medical School, The University of Mississippi Medical CenterJacksonUSA