肺子宫内膜异位症(PEM)罕见,药物治疗仍然是主要的治疗方法。然而,PEM患者经常会出现反复咯血,药物干预难以治疗.我们在此描述了一名PEM患者,该患者发展为复发性咯血,并在停药后成功接受光动力疗法(PDT)治疗。尽管反复药物治疗超过1年,但患者因反复咯血入院。鉴于PDT靶向特定组织并通过光敏剂的光动力反应产生的细胞毒性作用破坏血管内皮细胞,我们认为它可以有效控制PEM血管形态改变继发的咯血。因此,在这种情况下,我们进行了PDT,患者的反复咯血消退。PDT后大约2年,患者恢复良好,无不适.我们建议考虑将PDT作为停药后出现反复咯血的PEM患者的治疗选择。值得注意的是,患者的肺部病变应该是浅表的和有限的,不应该有禁忌症。
Pulmonary endometriosis (PEM) is rare, and drug therapy remains the primary treatment. However, patients with PEM frequently experience recurrent hemoptysis that is refractory to pharmacological intervention. We herein describe a patient with PEM who developed recurrent hemoptysis and was successfully treated with photodynamic therapy (PDT) after drug withdrawal. The patient was admitted to our hospital because of recurrent hemoptysis despite repeated drug treatments for more than 1 year. Given that PDT targets specific tissues and destroys vascular endothelial cells through the cytotoxic effect produced by the photodynamic reaction of the photosensitizer, we considered that it may effectively control hemoptysis secondary to vascular morphological changes in PEM. Therefore, we performed PDT in this case, and the patient\'s recurrent hemoptysis regressed. Approximately 2 years following PDT, the patient had recovered well and reported no discomfort. We recommend consideration of PDT as a treatment option for patients with PEM who develop recurrent hemoptysis after drug withdrawal. Notably, the patient\'s lung lesions should be superficial and limited, and no contraindications should be present.