Benign metastasizing leiomyoma.
A 41-year-old woman presented with chest pain and a cough. There was a solitary pulmonary nodule in the upper-left lobe. The patient had no history of neoplasm except a hysterectomy for uterine leiomyoma five years before. Six months after the first presentation, the tumor showed a gradual increase in size; an explorative thoracotomy was performed. The histopathologic examination showed a tumor consisting of well-differentiated spindle-shaped cells with intervening collagen. She was readmitted 8 months after the operation because of right-sided spontaneous pneumothorax. Multiple pulmonary nodules appeared when the lung was re-expanded by chest tube drainage. In conclusion, uterine leiomyomas can metastasize to various organs, such as lungs, despite having a benign pathologic appearance.
Sapmaz
Feride
F
Department of Thoracic Surgery, Sivas State Hospital, Sivas, Turkey.
Ergin
Makbule
M
Department of Thoracic Surgery, Gaziosmanpasa University, Tokat, Turkey.
Katrancioglu
Ozgur
O
Department of Thoracic Surgery, Sivas State Hospital, Sivas, Turkey.
Gonlugur
Tanseli
T
Department of Chest Diseases, Canakkale State Hospital, Canakkale, Turkey. tefeoglu@gmail.com.|, Ic Anadolu apartmani, B-blok, daire 9, Yenisehir, 58070, Sivas, Turkey. tefeoglu@gmail.com.
Gonlugur
Ugur
U
Department of Chest Diseases, Onsekiz Mart University, Canakkale, Turkey.
Elagoz
Sahende
S
Department of Pathology, Cumhuriyet University, Sivas, Turkey.
D000328:Adult; D015505:Chest Tubes; D004322:Drainage / Q000295:instrumentation; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007889:Leiomyoma / Q000473:pathology* / Q000601:surgery; D008175:Lung Neoplasms / Q000556:secondary* / Q000601:surgery; D049268:Positron-Emission Tomography; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D014594:Uterine Neoplasms / Q000473:pathology* / Q000601:surgery