A Case of benign metastasizing leiomyoma in the lung.

Hwang, Jae Kyung; Park, Kae Young; Park, Jeong Woong; Park, Jae Kyung; Jeong, Seong Hwan; Jeong, Jun Bum; Lee, Han Kyung; Lee, Jae Woong; Oh, Young Ha; Nam, Gui Hyun

doi:2000.49.2.231

Tuberc Respir Dis > Volume 49(2); 2000 > Article

Case Report

Tuberculosis and Respiratory Diseases 2000;49(2):231-236.
DOI: https://doi.org/10.4046/trd.2000.49.2.231 Published online August 1, 2000.

A Case of benign metastasizing leiomyoma in the lung.

Jae Kyung Hwang, Kae Young Park, Jeong Woong Park, Jae Kyung Park, Seong Hwan Jeong, Jun Bum Jeong, Han Kyung Lee, Jae Woong Lee, Young Ha Oh, Gui Hyun Nam

Abstract

Benign metastasizing leiomyoma usually occurs in women and is associated with a past hysterectomy in 80% of the cases, which is a rare entity. The patient was a 39-year-old woman who complained of cough and sputum. She underwent hysterectomy beacuse of benign leiomyoma ten years age. Chest X-ray showed nodular lesion in the left lung field. Chest CT showed a 3cm sized round well defined mass at left hilum with mild indentation of segmental bronchi of left upper lobe and a small tiny nodule in right lower lung field. Nodular lesion of left upper lobe was resected by thoracotomy.Pathological evaluation showed benign spindle-like cells having nuclei without cytotic atypia similar to those of benign leiomyoma. Immunohistochemical stainings for desmin and smooth muscle actin were positive. Therefore these nodules are considered as benign metastasizing leiomyoma from a uterine leiomyoma. We report this case with the review of literature.

Key Words: Benign metastasizing tumor, Leiomyoma, Uterine myoma