Natural history and therapeutic implications of patients with catamenial hemoptysis.
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.
Ryu
Jeong-Seon
JS
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
Song
Eun-Seop
ES
Lee
Kyung-Hee
KH
Cho
Jae Hwa
JH
Kwak
Seung-Min
SM
Lee
Hong Lyeol
HL
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