THORACIC ENDOMETRIOSIS (CLINICAL-RADIOLOGIC STUDY, REVIEW)

The review presents modern conceptions about endometriosis which takes the third place in terms of occurrence among gynecological diseases after inflammatory processes and metrofibroma. Endometriosis is characterized with tumor-like lesion in different parts of endometriotic tissue which in its structure and function is similar to the uterine lining - endometrium. Genital endometriosis occurs most often (92-94%), extragenital endometriosis is diagnosed only in 6-8% of patients. Endometriotic tissue in the form of the developed implants can damage respiratory organs. Thoracic endometriosis occurs very rarely, only in 2% from those who have extragenital endometriosis. Respiratory endometriosis is clinically a severe form of the disease which needs to be thoroughly diagnosed. The diagnosis is generally based on clinical data. The symptoms usually correlate with the menstrual period, but it is not always evident in all the patients, which significantly complicates the diacrisis and the estimation of pathological processes spread. The efforts of scientists aimed at the estimation of extragenital endometriosis spread are blocked due to a wide range of symptoms conditioned by the place of invasion location or ectopia of endometriotic masses, ambiguous diagnostics and many other objective and subjective reasons. The work demonstrates exclusive clinical-radiologic study of the patient with the nodular form of endometriosis of pulmonary parenchyma who did not have a typical clinical picture which would correlate with the menstrual period. To the full extent diagnostic possibilities of multispiral computer-aided tomography with the use of multiplanar and 3D-reconstruction, which are significantly better than traditional roentgenography, allow to visualize the tiniest masses in the lungs (their form, size, structure, exact localization, surrounding lung tissue). There is an opinion that multispiral computer-aided tomography with modern postprocessing of the image is a specific diagnostic method of thoracic endometriosis if only there is a competent specialist-diagnostician who knows the peculiarities of clinical manifestations of the disease and can integrate them sensibly. If there are no symptoms of the disease, image-diagnostics becomes a leading method especially when there is the aim to visualize things under diagnostic and surgical manipulations.

эндометриоз, торакальный эндометриоз, лучевая диагностика, компьютерная томография, магнитно-резонансная томография, endometriosis, thoracic endometriosis, X-ray diagnostics, computer-aided tomography, magnetic resonance imaging

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