title: Natural history and therapeutic implications of patients with catamenial hemoptysis.
abstract: Evidence as to whether clinician has to give specific treatment in all patients of catamenial hemoptysis is unclear. We considered that the current treatment such as long-term usage of hormonal agent or surgery might be excessive for the catamenial hemoptysis. Therefore, we developed prospective observation study with observation strategy and follow-up for the patients. In sequential four patients of catamenial hemoptysis between December 2000 and November 2001, physical examination, chest X-ray, pelvic ultrasonogram and chest CT scan were taken at both the diagnosis and last follow-up. All patients were only observed without specific treatment within the limit of the possibility and followed for average 58 months. Mean age of patients was 23.5years (range, 22-25years). All patients have a history of undertaking one or two dilatations and curettages before diagnosis. The chest CT scans of all patients presented with ground-glass opacities of peripheral location that were disappeared without any residual lesion at last follow-up. Hemoptysis of two patients was spontaneously disappeared after 6 months. In the other two patients, it was greatly lessened in amount and frequency, then clinically insignificant in one. It was disappeared after subsequent 2 months and then relapsed two times in the late of follow-up of another patient. This study suggests that observation only may be an alternative option in the treatment of catamenial hemoptysis.
authors.affiliation: Department of Internal Medicine, College of Medicine, Inha University, Hospital 7-206, 3-Ga, Shinheung Dong, Jung Gu, Inchon 400-103, Republic of Korea. jsryu@inha.ac.kr
authors.forename: Jeong-Seon
authors.initials: JS
authors.lastname: Ryu
authors.forename: Eun-Seop
authors.initials: ES
authors.lastname: Song
authors.forename: Kyung-Hee
authors.initials: KH
authors.lastname: Lee
authors.forename: Jae Hwa
authors.initials: JH
authors.lastname: Cho
authors.forename: Seung-Min
authors.initials: SM
authors.lastname: Kwak
authors.forename: Hong Lyeol
authors.initials: HL
authors.lastname: Lee
mesh_terms: D000328:Adult; D004715:Endometriosis / Q000150:complications*; D005260:Female; D005500:Follow-Up Studies; D006469:Hemoptysis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008598:Menstruation; D011379:Prognosis; D012075:Remission, Spontaneous; D014057:Tomography, X-Ray Computed