Extra‐pelvic endometriosis: A review
Abstract Background Extra‐pelvic endometriosis is a rare type of endometriosis, which occurs in a distant site from gynecological organs. The diagnosis of extra‐pelvic endometriosis can be extremely challenging and may result in a delay in diagnosis. The main objective of this review was to characte...
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| Format: | Article |
| Language: | English |
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Wiley
2020-10-01
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| Series: | Reproductive Medicine and Biology |
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| Online Access: | https://doi.org/10.1002/rmb2.12340 |
| _version_ | 1818130548419198976 |
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| author | Tetsuya Hirata Kaori Koga Yutaka Osuga |
| author_facet | Tetsuya Hirata Kaori Koga Yutaka Osuga |
| author_sort | Tetsuya Hirata |
| collection | DOAJ |
| description | Abstract Background Extra‐pelvic endometriosis is a rare type of endometriosis, which occurs in a distant site from gynecological organs. The diagnosis of extra‐pelvic endometriosis can be extremely challenging and may result in a delay in diagnosis. The main objective of this review was to characterize abdominal wall endometriosis (AWE) and thoracic endometriosis (TE). Methods The authors performed a literature search to provide an overview of AWE and TE, which are the major types of extra‐pelvic endometriosis. Main findings Abdominal wall endometriosis includes scar endometriosis secondary to the surgical wound and spontaneous AWE, most of which occur in the umbilicus or groin. Surgical treatment appeared to be effective for AWE. Case reports indicated that the diagnosis and treatment of catamenial pneumothorax or endometriosis‐related pneumothorax (CP/ERP) are challenging, and a combination of surgery and postoperative hormonal therapy is essential. Further, catamenial hemoptysis (CH) can be adequately managed by hormonal treatment, unlike CP/ERP. Conclusion Evidence‐based approaches to diagnosis and treatment of extra‐pelvic endometriosis remain immature given the low prevalence and limited quality of research available in the literature. To gain a better understanding of extra‐pelvic endometriosis, it would be advisable to develop a registry involving a multidisciplinary collaboration with gynecologists, general surgeons, and thoracic surgeons. |
| first_indexed | 2024-12-11T08:06:47Z |
| format | Article |
| id | doaj.art-4cde6d52e37a4f4f936cb096c389dec5 |
| institution | Directory Open Access Journal |
| issn | 1445-5781 1447-0578 |
| language | English |
| last_indexed | 2024-12-11T08:06:47Z |
| publishDate | 2020-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Reproductive Medicine and Biology |
| spelling | doaj.art-4cde6d52e37a4f4f936cb096c389dec52022-12-22T01:14:59ZengWileyReproductive Medicine and Biology1445-57811447-05782020-10-0119432333310.1002/rmb2.12340Extra‐pelvic endometriosis: A reviewTetsuya Hirata0Kaori Koga1Yutaka Osuga2Department of Obstetrics and Gynecology Doai Kinen Hospital Sumida‐ku JapanFaculty of Medicine Department of Obstetrics and Gynecology University of Tokyo Tokyo JapanFaculty of Medicine Department of Obstetrics and Gynecology University of Tokyo Tokyo JapanAbstract Background Extra‐pelvic endometriosis is a rare type of endometriosis, which occurs in a distant site from gynecological organs. The diagnosis of extra‐pelvic endometriosis can be extremely challenging and may result in a delay in diagnosis. The main objective of this review was to characterize abdominal wall endometriosis (AWE) and thoracic endometriosis (TE). Methods The authors performed a literature search to provide an overview of AWE and TE, which are the major types of extra‐pelvic endometriosis. Main findings Abdominal wall endometriosis includes scar endometriosis secondary to the surgical wound and spontaneous AWE, most of which occur in the umbilicus or groin. Surgical treatment appeared to be effective for AWE. Case reports indicated that the diagnosis and treatment of catamenial pneumothorax or endometriosis‐related pneumothorax (CP/ERP) are challenging, and a combination of surgery and postoperative hormonal therapy is essential. Further, catamenial hemoptysis (CH) can be adequately managed by hormonal treatment, unlike CP/ERP. Conclusion Evidence‐based approaches to diagnosis and treatment of extra‐pelvic endometriosis remain immature given the low prevalence and limited quality of research available in the literature. To gain a better understanding of extra‐pelvic endometriosis, it would be advisable to develop a registry involving a multidisciplinary collaboration with gynecologists, general surgeons, and thoracic surgeons.https://doi.org/10.1002/rmb2.12340abdominal wall endometriosiscatamenial hemoptysiscatamenial pneumothoraxextra‐pelvic endometriosistreatment |
| spellingShingle | Tetsuya Hirata Kaori Koga Yutaka Osuga Extra‐pelvic endometriosis: A review Reproductive Medicine and Biology abdominal wall endometriosis catamenial hemoptysis catamenial pneumothorax extra‐pelvic endometriosis treatment |
| title | Extra‐pelvic endometriosis: A review |
| title_full | Extra‐pelvic endometriosis: A review |
| title_fullStr | Extra‐pelvic endometriosis: A review |
| title_full_unstemmed | Extra‐pelvic endometriosis: A review |
| title_short | Extra‐pelvic endometriosis: A review |
| title_sort | extra pelvic endometriosis a review |
| topic | abdominal wall endometriosis catamenial hemoptysis catamenial pneumothorax extra‐pelvic endometriosis treatment |
| url | https://doi.org/10.1002/rmb2.12340 |
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