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

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Abstract

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.

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About the authors

Maria I. Yarmolinskaya

The Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott

Email: m.yarmolinskaya@gmail.com
ORCID iD: 0000-0002-6551-4147
SPIN-code: 3686-3605

MD, Dr. Sci. (Med.), Professor, Professor of the Russian Academy of Sciences

Russian Federation, St. Petersburg

Elena V. Suslova

The Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott

Author for correspondence.
Email: new2005job@yandex.ru
ORCID iD: 0000-0002-2861-873X
SPIN-code: 8986-9303

MD, Cand. Sci. (Med.)

Russian Federation, Saint Petersburg

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия Эл № 77 - 6389 от 15.07.2002 г.