title: Pulsating thoracic tumor caused by extragenital endometriosis in a patient with Noonan syndrome.
abstract: 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.
authors.affiliation: Department of Internal Medicine II, University Erlangen-Nürnberg, Erlangen, Germany. theresaseeliger@aol.com
authors.forename: Theresa
authors.initials: T
authors.lastname: Seeliger
authors.forename: Jens-Uwe
authors.initials: JU
authors.lastname: Voigt
authors.forename: Helmut
authors.initials: H
authors.lastname: Singer
authors.forename: Werner G
authors.initials: WG
authors.lastname: Daniel
authors.forename: Holger
authors.initials: H
authors.lastname: Rupprecht
mesh_terms: 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