Pulsating thoracic tumor caused by extragenital endometriosis in a patient with Noonan syndrome.
We present the case of a 36-year-old woman with Noonan syndrome and congenital heart disease in whom extragenital endometriosis caused an extraordinarily large jelly-like paracardiac and abdominal mass. Protrusion through an intercostal space caused a pulsating subcutaneous tumor on the left lateral thoracic wall. The patient never complained of menstruation-related pain. Histology obtained during several prior surgical interventions had been inconclusive. Thus definitive diagnosis was delayed for years. A literature review revealed no known association between Noonan syndrome and endometriosis.
Seeliger
Theresa
T
Department of Internal Medicine II, University Erlangen-Nürnberg, Erlangen, Germany. theresaseeliger@aol.com
Voigt
Jens-Uwe
JU
Singer
Helmut
H
Daniel
Werner G
WG
Rupprecht
Holger
H
D000005:Abdomen / Q000473:pathology; D000328:Adult; D004715:Endometriosis / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D005260:Female; D006801:Humans; D009634:Noonan Syndrome / Q000150:complications*; D013896:Thoracic Diseases / Q000150:complications / Q000175:diagnosis* / Q000473:pathology