Легочный эндометриоз как одна из форм эндометриоидной болезни

The aim of this study was to analyze our own experience of diagnosis and treatment of pulmonary endometriosis. Methods. Females with endometriosis (n = 11) has been described in the article. The patients’ age ranged from 16 to 61 year, the mean age was 37.7 ± 2.7 years. Results. Serious difficulties were encountered in all cases in differential diagnosis of pulmonary lesions. Clinical, laboratory and radiological findings were not sufficient for diagnosis. Diagnostic surgical interventions were required in all cases. Pulmonary endometriosis was diagnosed using histological and immunohistochemical examination of lung biopsy specimens. Diagnostic workup has been illustrated by two case reports of pulmonary endometriosis in patients of 52 and 19 years of age. Conclusion. The management of patients with extragenital endometriosis depends on pathological and immunohistochemical findings, location and extend of injury. Such patients should be managed together by a gynecologist and a thoracic surgeon.Материалы и методы. Представлен опыт диагностики и лечения женщин (n = 11) в возрасте от 16 до 61 года (средний возраст – 37,7 ± 2,7 года), больных эндометриозом легких. При дифференциальной диагностике имеющихся изменений в легких во всех случаях возникли серьезные трудности – по результатам клинических, лабораторных и рентгенологических данных диагноз не установлен, возникла необходимость в лечебно-диагностических оперативных вмешательствах. Результаты. Верифицировать диагноз – эндометриоз легких – удалось только после гистологических и иммуногистохимических (ИГХ) исследований операционного материала. Трудности диагностики этой редкой патологии проиллюстрированы в 2 наблюдениях эндометриоза легких у больных 52 и 19 лет. Заключение. Результаты морфологических и ИГХ-исследований, наряду с локализацией и распространенностью экстрагенитального эндометриоза имеют важнейшее значение для определения оптимальной тактики ведения больных, которая разрабатывается совместно гинекологами и торакальные хирургами

SPONTANEOUS PNEUMOTHORAX — AN ANALYSIS OF 1489 CASES

A retrospective analysis of medical history of 1489 patients with spontaneous pneumothorax was made. The patients were hospitalized to the department of thoracic surgery in municipal hospital № 2. According to the data, the incidence rate of primary spontaneous pneumothorax was noted in men during last decade in Saint-Petersburg. The number of patients with secondary spontaneous pneumothorax didn’t considerably increase in spite of the growth of incidence of chronic obstructive lung disease. The secondary spontaneous pneumothorax took place in female population two times more, than in male

THORACIC ENDOMETRIOSIS — THE RARE PATHOLOGY IN THORACIC SURGERY

Thoracic hematogenic endometriosis is a rare pathology. A clinical course hasn’t pathognomic symptoms, because of it, the diagnosis is established due to histological study. The article presented two cases of female patients, who were suffering from thoracic endometriosis. They were hospitalized to the department of thoracic surgery of Municipal multifield hospital № 2 in Saint-Petersburg. The first patient had a posterior mediastinum tumor with asymptomatic disease course. The second patient was with recurrent catamenial pneumothorax