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A case of benign metastasizing leiomyoma with pulmonary metastases



A case of benign metastasizing leiomyoma with pulmonary metastases



Nihon Kyobu Geka Gakkai 36(9): 2131-2135



A 40-year-female with multiple pulmonary metastases of uterine leiomyoma was reported. She had a history of supracervical hysterectomy and unilateral salphingo-oophorectomy for uterine leiomyoma 10 years previously. She was admitted to our hospital without any clinical symptoms, because bilateral multiple pulmonary nodules were revealed in a chest X-ray film taken by health screening. Left open lung biopsy was performed and histological findings proved benign appearing leiomyomas. Because the remaining nodules grew rapidly during 9 months, 17 tumors were enucleated from bilateral lungs by median sternotomy. In addition, the similar tumor was found in the left gluteus maximus muscle, and was resected. Histological findings also proved benign appearing leiomyoma. Considering her history we supposed this case to be benign metastasizing leiomyoma. Some hypotheses for leiomyoma's metastasis would be controverted. We suggested that the uterine leiomyosarcoma with low grade malignancy metastasized to bilateral lungs and left gluteus maximus muscle.

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Accession: 006932094

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PMID: 3204304


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