{"id":248,"title":"Thoracic Endometriosis Mimicking a Lung Mass: Management With Single-Stage Biopsy and Microwave Ablation","title_zh":"胸腔子宫内膜异位症模拟肺部肿块：单期活检联合微波消融治疗","url":"https://pubmed.ncbi.nlm.nih.gov/42978679","doi":"10.1002/rcr2.70811","pmid":"42978679","journal":"Respirol Case Rep","kind":"paper","lang":"en","published_at":"2026-11-02T00:00:00+00:00","fetched_at":"2026-11-08T03:44:00+00:00","authors":["Hsieh M","Yang SM","Huang HN"],"primary_topic":"endometrium","topics":[{"slug":"endometrium","score":4.0,"hits":["endometriosis"]}],"topic_score":4.0,"preference_score":0.0,"preference_labels":[],"llm_score":52.0,"final_score":52.0,"score_dims":{"novelty":55,"rigor":30,"impact":25,"relevance":40,"translation":35},"recommend_reason":"内容为罕见胸腔子宫内膜异位症模拟肺恶性肿瘤的单病例报告，展示单期活检联合微波消融的微创处理思路；但样本量极小、长期安全性未定，且与ART实验室和胚胎/植入核心实践距离较远，生殖医学读者可浏览而非必读。","keywords":["胸腔子宫内膜异位症","肺结节","微波消融","病例报告","微创诊断"],"selected":0,"story_id":193,"llm_provider":"deepseek","llm_model":"deepseek-flash","llm_effort":"low","source_key":"pubmed-uterus-pregnancy","source_name":"PubMed · 内膜/植入/早孕","source_tier":1,"mention_count":1,"has_interpretation":false,"journal_key":null,"journal_tier":"unknown","journal_if":null,"is_mock":false,"summary_zh":"该病例报告描述一名31岁无症状女性，右肺下叶结节在3个月内由1.8 cm增至2.1 cm，影像学疑似恶性肿瘤。经共同决策，行单期影像引导下活检联合微波消融，病理证实为肺子宫内膜异位症；术后第1天出院，无临床显著并发症，6个月和12个月CT未见局部复发。作者认为对选择性肺部病灶可采用该微创策略，但微波消融治疗肺子宫内膜异位症的安全性、疗效及长期结局仍不确定。","summary":"Thoracic endometriosis syndrome is a rare extrapelvic manifestation involving the pleura, diaphragm or lung parenchyma. Presentation as a solitary pulmonary nodule mimicking malignancy is uncommon. We report a 31-year-old asymptomatic woman with an enlarging right lower lobe nodule, measuring 1.8-2.1 cm over 3 months. Following shared decision-making, single-stage image-guided biopsy and microwave ablation (MWA) were performed. Histopathology confirmed pulmonary endometriosis. No clinically significant postoperative complications occurred, and the patient was discharged on postoperative Day 1. Follow-up CT at 6 and 12 months demonstrated no obvious local recurrence without additional treatment. This case describes a potential minimally invasive approach for selected pulmonary lesions, although the safety, efficacy and long-term outcomes of MWA for pulmonary endometriosis remain uncertain.","interpretation_basis":null,"fulltext_status":null,"interpretation":null,"fulltext":{"available":false,"status":null,"reason":"尚未抓取全文（未入选、分数未达阈值，或还没跑 fulltext 步骤）","pmcid":null,"license":null,"chars":0,"source":null,"fetched_at":null}}