Catamenial hemoptysis: a nationwide analysis in Korea.
BACKGROUND
Hemoptysis is a potentially serious clinical problem. However, there is no consensus on the clinical characteristics, treatment and patient outcome of catamenial hemoptysis.


OBJECTIVE
Clinical characteristics, treatments and outcome in patients of catamenial hemoptysis were evaluated.


METHODS
We conducted a retrospective nationwide observational analysis of Korean patients with catamenial hemoptysis.


RESULTS
Nineteen patients with catamenial hemoptysis were evaluated from 13 tertiary-care hospitals in Korea. The median age of the patients was 25 years; 8 (42%) were ever-smokers. Eight patients were pathologically diagnosed; 11 were diagnosed by clinical criteria. Sixteen (84%) patients had a history of obstetric or gynecological procedures before developing hemoptysis. The mean amount of hemoptysis (mean +/- SD) was 58.3 +/- 71.3 for surgery, 46.4 +/- 33.2 for hormonal and 29.1 +/- 26.3 for conservative treatment groups. Hemoptysis did not recur in 8 (89%) of 9 patients after surgery. None of the patients in the hormonal or conservative treatment groups had persistent hemoptysis. There was an excellent outcome (complete remission and partial responses) in all patients with conservative treatment, suggesting that endometrial cells implanted into the lung may have a benign course.


CONCLUSIONS
Patients without massive hemoptysis can be treated conservatively or with hormonal agents.
Kim
Chong-Ju
CJ
Department of Internal Medicine, National Health Insurance Corporation, Ilsan Hospital, Koyang, South Korea.
Nam
Hae-Seong
HS
Lee
Chang-Youl
CY
Yum
Ho-Kee
HK
Yang
Sei-Hoon
SH
Seo
Ki-Hyun
KH
Son
Choon-Hee
CH
Kim
Do-Jin
DJ
Jang
Seung-Hun
SH
Chung
Man-Pyo
MP
Park
Yong-Bum
YB
Lee
Jae-Cheol
JC
Ryu
Jeong-Seon
JS
D000293:Adolescent; D000328:Adult; D001999:Bronchoscopy; D004715:Endometriosis / Q000150:complications / Q000000981:diagnostic imaging / Q000453:epidemiology*; D005260:Female; D006469:Hemoptysis / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000209:etiology; D006801:Humans; D008875:Middle Aged; D013902:Radiography, Thoracic; D056910:Republic of Korea / Q000453:epidemiology; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult