A 40-year-old woman had experienced monthly right thoracic pain and product
ive cough occurring at the beginning of her menstrual period. X-ray finding
s indicated a diagnosis of catamenial pneumothorax, The serum CA125 level w
as very high at 159.6 U/ml. Thoracoscopy showed multiple dark cherry-colore
d nodules with neovascularization on the diaphragm, Following partial resec
tion of the diaphragm thoracic endometriosis was diagnosed. Immunohistochem
ical staining of these endometrial cells showed antibodies to CA125, She ha
s been well without recurrence for 15 months, and her serum CA125 level was
within the normal range after operation.