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Medical Record Information Department, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Zhifu District, Yantai, Shangdong Province, China
A 51-year-old female patient was admitted to our institution because of abnormal lung
shadows that were accidentally found during her health examination. The patient did
not experience fever, cough, and sputum. She attained menarche at 15 years with a
regular cycle of 5–6/28. At the age of 36, she underwent hysterectomy because of hysteromyoma
and recovered well, but hemoptysis (∼10 mL) occurred 1 month after the operation,
which disappeared after 3 days. Hemoptysis then occurred regularly every month with
a frequency of 3–4 days. The onset was accompanied by lower abdominal distension and
lumbosacral discomfort. The patient went to the gynecological clinic for re-examination
several times, and no abnormality was found. At the age of 48, hemoptysis and other
accompanying symptoms disappeared. No other significant findings were obtained from
physical examination and laboratory investigations. Chest CT scan showed an ill-defined
ground-glass opacity with small cystic change in the right middle lobe of the lung
(Fig. 1A) and a ground-glass attenuation with a nodule in the right lower lung (Fig. 1B∼C). What is your diagnosis?
Fig. 1Imge of Chest CT. (A) Area of ill-defined ground-glass opacity with small cystic changes (Dovetail arrow)
in the right middle lobe of the lung. (B) Ground-glass attenuation with a nodule (arrows) in the right lower lobe of the lung.
(C) Oblique sagittal reconstruction image of right lower lobe lesions. Bronchus is seen
in the lesion, and the nodule(arrows) is located at the distal end of the bronchus.
Pleuro-pulmonary endometriosis and pulmonary ectopic deciduosis: a clinicopathologic and immunohistochemical study of 10 cases with emphasis on diagnostic pitfalls.
