Video-assisted Thoracoscopic Surgery for Catamenial Hemoptysis: the Rationale of Preoperative Computed Tomography-guided Hook-wire Localization

Abstract

Catamenial hemoptysis is a rare disease. Hormone ablation therapy is the treatment of choice with multiple side effects. We report a case of pulmonary endometriosis with deep and changeable focus. Successful treatment was obtained with the combine use of computed tomography-guided hook-wire localization and video-assisted thoracoscopic surgery. Owing to benign and curable in nature, we suggest a more aggressive attitude toward this disease before proceeding to hormone ablation therapy. The role of preoperative localization in the management of such disease was also discussed.

Successful Treatment of Catamenial Hemoptysis by Video-Assisted Thoracoscopic Surgery

“…Preoperative CT-guided localization was suggested because of the intraparenchymal location of lesion, as seen on CT, and the lack of visible abnormalities found intraoperatively. 4 Several localization methods such methylene blue staining and hook wire techniques have been proposed, they have a high failure rate and risks of pneumothorax and intraparenchymal hemorrhage. A recently proposed intraoperative transthoracic ultrasonography could be another useful method in localizing lung lesion.…”

Use of wire guided localization for resection of recurrent, oligometastatic gynecologic clear cell carcinoma to anterior abdominal wall

“…( Franceschini et al ) It has also been used to localize axillary sentinel lymph nodes or radiologically suspicious lymph nodes as part of the surgical management of breast cancer ( Caudle et al, 2015 ). The second most common reported use is the wire localization of small lung nodules to facilitate excision through a VATS procedures ( Park et al, 2017 , Chao et al, 2006 ).…”

Use of Radioactive Seed Localization to Guide Removal of a Nonpalpable Endometriotic Lesion: A Case Report

“…There are different methods available to accurately locate nonpalpable lesions, including RSL, wire-guided localization (WGL), and radioguided occult lesion localization (ROLL), but their use for the treatment of endometriosis is rare. To our knowledge, only 2 studies using WGL in scar and pulmonary endometriosis [6,7] and 1 study using ROLL for the excision of an endometriotic lesion in the abdominal wall have been described [8].…”