Clinical and pathological characteristics of spontaneous pneumothorax in women: a 25-year single-institutional experience

General Thoracic and Cardiovascular Surgery
Tomohito SaitoTomohiro Murakawa

Abstract

Accumulating evidence suggests that spontaneous pneumothorax (SP) in women, while relatively rare, has higher rates of post-treatment recurrence than in men. Our aim was to further elucidate the clinical and pathological characteristics of SP in women. We retrospectively reviewed 59 female patients with no known underlying lung disease undergoing surgery for their SP from January 1990 to December 2015. We divided the study population into those older than or equal to 50 years and those younger than 50 years, the latter of which was further subdivided into catamenial and non-catamenial pneumothorax. Among the study population, 11 (18.6%) had catamenial pneumothorax, 40 (67.8%) had non-catamenial pneumothorax, and 8 (13.6%) were older than 50 years. Pathological diagnoses of catamenial pneumothorax were diaphragmatic endometriosis (n = 4), emphysematous bullae (n = 4), solitary pulmonary capillary hemangiomatosis (SPCH, n = 2), and hematoma (n = 1). By contrast, emphysematous blebs/bullae accounted for all but one case of non-catamenial pneumothorax and all cases in the ≥ 50 years age group. Catamenial pneumothorax showed a significantly higher postoperative recurrence rate compared to non-catamenial pneumothorax (p = 0.0043). Th...Continue Reading

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Citations

Sep 8, 2018·The European Respiratory Journal·José M Porcel
May 29, 2020·European Respiratory Review : an Official Journal of the European Respiratory Society·Jason WeatheraldDavid Montani
Jul 7, 2020·Current Problems in Diagnostic Radiology·Aya TawfikKhaled M Elsayes
Dec 22, 2020·The Annals of Thoracic Surgery·Paola CiriacoGiampiero Negri

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