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A multidisciplinary approach in the treatment of thoracic endometriosis
R. I. Gabidullina,
V. Yu. Matveev,
F. F. Minnullina,
A. I. Kuptsova,
D. I. Akhmetova,
I. M. Perevertov https://doi.org/10.33667/2078-5631-2024-19-21-24
Abstract
Purpose. To familiarize gynecologists with the clinical presentation, diagnosis and basic principles of treatment of thoracic endometriosis (TE).
Materials and Methods. The article presents a review of publications based on the results of search in electronic resources PubMed, Elibrary, EMBASE. The own clinical observation of the patient with TE is also presented.
Results. The clinical picture of TE can be different, in many patients it is asymptomatic. The typical symptom of TE is menstrual cycle-related, usually right-sided pain in the thoracic, scapular or shoulder area. Chest X-rays, computed tomography (CT), magnetic resonance imaging (MRI) and bronchoscopy are used in diagnosis. The gold standard for definitive diagnosis and effective treatment is video-assisted thoracoscopic surgery (VATS). As with pelvic disease, the first-line therapy for TE is medication to suppress ovarian steroid hormone production. Surgical treatment should be considered in patients with refractory or recurrent TE and in acute life-threatening conditions.
Conclusion. Management of patients with thoracic endometriosis requires an interdisciplinary approach involving gynecologists and thoracic surgeons.
About the Authors
R. I. Gabidullina
Kazan State Medical University
Russian Federation
Russian Federation
Gabidullina Rushania I., DM Sci (habil.), head of Dept of Obstetrics and Gynecology named after prof. V.S. Gruzdev
Kazan
V. Yu. Matveev
Kazan State Medical University; Republican Clinical Hospital
Russian Federation
Russian Federation
Matveyev Valerij Yu., PhD Med, assistant at Dept of Surgical Diseases; head of the Surgical Thoracic Dept
Kazan
F. F. Minnullina
Kazan federal university; City Clinical Hospital No. 7
Russian Federation
Russian Federation
Minnullina Farida F., PhD Med, associate professor at Dept of Obstetrics and Gynecology of Institute of Biology and Fundamental Medicine; head of the Gynecological Dept
Kazan
A. I. Kuptsova
City Clinical Hospital No. 7
Russian Federation
Russian Federation
Kuptsova Angelina I., gynecologist at the Gynecological Dept
Kazan
D. I. Akhmetova
Kazan State Medical University
Russian Federation
Russian Federation
Akhmetova Dinara I., assistant at Dept of Obstetrics and Gynecology named after prof. V.S. Gruzdev
Kazan
I. M. Perevertov
Kazan State Medical University
Russian Federation
Russian Federation
Perevertov Il’ya M., student at the General Medicine faculty
Kazan
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Review
For citations:
Gabidullina R.I., Matveev V.Yu., Minnullina F.F., Kuptsova A.I., Akhmetova D.I., Perevertov I.M. A multidisciplinary approach in the treatment of thoracic endometriosis. Medical alphabet. 2024;(19):21-24. (In Russ.) https://doi.org/10.33667/2078-5631-2024-19-21-24
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