Should we treat surgically in catamenial haemoptysis?
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Abstract
To the Editor: Lu et al. recently reported a case of catamenial haemoptysis who was clinically diagnosed and treated with video-assisted thoracoscopic surgery (VATS). Catamenial haemoptysis is known to be a rare entity which has been published with about 40 case reports in the world. Currently our knowledge on the treatment of catamenial haemoptysis comes exclusively from case reports and experiences of pelvic endometriosis rather than well- designed study. Therefore, no diagnostic or treatment guideline is feasible and also pathogenetic mechanism is not clear in catamenial haemoptysis. In the management of haemoptysis by other aetiologies, surgical resection has been limitedly used in the massive haemoptysis. Notwithstanding that no patient presented with fatal haemoptysis, surgical resection (lobectomy, segmentectomy and VATS) has been used as one of the standard in catamenial haemoptysis (1-5). However, no long- term follow-up results such as recurrence or complication are available. Recently less aggressive strategies have been introduced in the treatment of catamenial haemoptysis with favourable outcome (6-8). Therefore, it is time to reconsider surgical strategy as one of the treatment option, especially in patients showing small amount of haemoptysis.
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References (9)
- A Case of Endobronchial Endometriosis Treated by Subsegmentectomy via openalex
- Pulmonary Endometriosis Causing Haemoptysis: Report of a Case Treated with Lobectomy via openalex
- Pulmonary endometriosis resected by video‐assisted thoracoscopic surgery via openalex
- Successful Endoscopic Nd-YAG Laser Treatment of Endobronchial Endometriosis via openalex
- Video-Assisted Thoracoscopic Surgery for Catamenial Hemoptysis via openalex
- What we see is not what we get in catamenial haemoptysis via openalex
- W6667648965 via openalex
- W2006288731 via openalex
- W2067315604 via openalex
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- last seen: 2026-06-04T00:00:01.174412+00:00
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