PDF(Sci-hub)
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.
RESULTS: 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.
CONCLUSIONS: 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.
METHODS: The authors performed a literature search to provide an overview of AWE and TE, which are the major types of extra-pelvic endometriosis.
RESULTS: 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.
CONCLUSIONS: 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.
摘要：
背景：盆腔外子宫内膜异位症是一种罕见的子宫内膜异位症，发生在远离妇科器官的地方。盆腔外子宫内膜异位症的诊断可能极具挑战性，并可能导致诊断延迟。这篇综述的主要目的是描述腹壁子宫内膜异位症（AWE）和胸廓子宫内膜异位症（TE）。
方法：作者进行了文献检索，以提供AWE和TE的概述，这是盆腔外子宫内膜异位症的主要类型。
结果：腹壁子宫内膜异位症包括继发于手术伤口的瘢痕子宫内膜异位症和自发性AWE，其中大部分发生在脐部或腹股沟。手术治疗似乎对AWE有效。病例报告表明，月经性气胸或子宫内膜异位症相关性气胸（CP/ERP）的诊断和治疗具有挑战性，手术和术后激素治疗的结合是必不可少的。Further,月经咯血（CH）可以通过激素治疗充分管理，与CP/ERP不同。
结论：鉴于文献中可获得的低患病率和有限的研究质量，诊断和治疗盆腔外子宫内膜异位症的循证方法仍不成熟。为了更好地了解盆腔外子宫内膜异位症，最好与妇科医生建立一个涉及多学科合作的注册表，普通外科医生,还有胸外科医生.
方法：作者进行了文献检索，以提供AWE和TE的概述，这是盆腔外子宫内膜异位症的主要类型。
结果：腹壁子宫内膜异位症包括继发于手术伤口的瘢痕子宫内膜异位症和自发性AWE，其中大部分发生在脐部或腹股沟。手术治疗似乎对AWE有效。病例报告表明，月经性气胸或子宫内膜异位症相关性气胸（CP/ERP）的诊断和治疗具有挑战性，手术和术后激素治疗的结合是必不可少的。Further,月经咯血（CH）可以通过激素治疗充分管理，与CP/ERP不同。
结论：鉴于文献中可获得的低患病率和有限的研究质量，诊断和治疗盆腔外子宫内膜异位症的循证方法仍不成熟。为了更好地了解盆腔外子宫内膜异位症，最好与妇科医生建立一个涉及多学科合作的注册表，普通外科医生,还有胸外科医生.
