A case of benign metastasizing leiomyoma in the lung of woman with a history of myomectomy.
- Author:
Su Yeon RHIE
1
;
Bum Gon YEO
;
Sang Hyun KIM
;
Sang Kyu YANG
;
Whan Kuk YOO
;
Jae Joong BAIK
;
Hee Jin JANG
Author Information
1. Department of Internal Medicine, National Medical Center, Seoul, Korea. suyeoni@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Lung neoplasm;
Uterine leiomyoma;
Bilateral multiple nodules;
Hormonal therapy
- MeSH:
Adult;
Collagen;
Cough;
Female;
Humans;
Hysterectomy;
Leiomyoma*;
Lung Neoplasms;
Lung*;
Muscle, Smooth;
Myocytes, Smooth Muscle;
Radiography, Thoracic;
Thoracoscopy
- From:Korean Journal of Medicine
2004;67(Suppl 3):S857-S861
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Benign metastasizing leiomyoma is usually detected years after hysterectomy or myomectomy and characterized by well-circumscribed, singular or, often, multiple nodules. The patient was a 33-year-old woman who presented with cough. She underwent a myomectomy for a large uterine leiomyoma 9 years ago. And now she has recurrent uterine myoma. Multiple nodular lesions in both whole lung fields were incidentally found on a routine chest radiograph. Video-assisted thoracoscopy (VATs) was performed. The resected small nodular lesions composed of extremely well- defferentiated smooth muscle cells with collagen. On immunohistochemical stain, they are positive for smooth muscle markers (desmin and actin). There is no definite evidence of malignancy. Therefore, these multiple nodules are considered as benign metastasizing leiomyoma from a uterine leiomyoma. We report this case with review of literatures.
