PURPOSE: Current knowledge on catamenial hemoptysis (CH) is very limited and largely based on each case experiences. We conducted nationwide survey to know clinical characteristics of CH patients as well as treatment status.
METHODS: Nationwide survey was conducted with forty university hospitals in South Korea. For inclusion, subjects must meet at least one of two following criteria. 1. CH confirmed histologically 2. CH showing characteristic clinical history: arbitrary definition with more than six synchronous occurrences plus characteristic findings of chest CT scans taken in both during menstruation and inter-menstrual period and exclusion of other causes of hemoptysis.
RESULTS: Total twenty-one CH patients were finally recruited from fourteen hospitals. Mean age of subject was 27 years (16-52). Eleven were single women and eight were smokers. Nine was diagnosed with pathologic criteria. Mean months of the synchrony were 22.1 (6-60) among eleven diagnosed with clinical one. The maximal amount of hemoptysis at presention was varied from five to three hundred milliliter per day. Mean number of obstetric and gynecologic procedure before the diagnosis was 1.43 (1-4).On chest CT scan, ground glass opacity was noted in eighteen (86%) whereas consolidation in seven (33%) and nodule in four (19%). Their topographic locations were as followings: twenty-one (70%) in right lung vs. nine (30%) in left lung; seven (23%) in upper, vs. six (20%) in middle vs. seventeen (57%) in lower lung.As initial treatment, surgical resection was given in seven (one lobectomy, six wedge resections); 8 hormonal therapy; 6 conservative care. Hemoptysis in seven was recurred after initial treatment: 1 wedge resection; 2 hormonal therapy; 4 conservative care. Alternative treatment was given in four among seven.
CONCLUSION: CH subjects seem to have higher prevalence of smoking, taking Ob & Gyn procedure before diagnosis. Lesions were commonly observed in right side or lower lung. No death case was reported from hemoptysis.
CLINICAL IMPLICATIONS: From it's benign nature in present study with largest number of CH, we suggest that clinicians have to care CH patients less aggressively.
DISCLOSURE: Jeong-Seon Ryu, No Financial Disclosure Information; No Product/Research Disclosure Information