Widespread pulmonary endometriosis 25 years after surgical menopause. A case report

We herein present a clinical case of widespread pulmonary endometriosis in a 65-year-old woman 25 years after surgical menopause. The patient is known from the history to have had widespread genital and extragenital endometriosis involving the ureters. Conspicuous is the fact that menopausal hormone therapy was not prescribed, which could account for the recurrence of the disease. However, the presence of extragenital endometriosis lesions in the lungs and an infiltrate in the pelvis may indicate reactivation of the disease. Taking into account the altered metabolism of estrogens in the endometriosis implants and the low level of estradiol in peripheral blood, the use of aromatase inhibitors may be a strategy for the treatment of common forms of endometriosis, including extragenital one, in the postmenopausal period.