Pulmonary endometriosis 25 years after surgical menopause (clinical case report)

A clinical case of widespread pulmonary endometriosis in a 65-year-old woman 25 years after surgical menopause is exposed. It is known from the history that earlier patient had endometriosis, as well as extragenital endometriosis involving the ureters. Conspicuous is the fact that menopausal hormone therapy was not prescribed, which could explain the recurrence of the disease. However, the presence of extragenital endometriosis lesions in the lungs and pelvic endometriotic infiltration may indicate reactivation of endometriosis. Taking into account the altered metabolism of estrogens in the endometriosis implants and low level of estradiol in peripheral blood, the use of aromatase inhibitors may be one of the strategies for the treatment of common forms of endometriosis, including extragenital, in the postmenopausal period.