Consequences of a wait-and-see strategy for benign metastasizing leiomyomatosis of the lung.
Pulmonary benign metastasizing leiomyomatosis (BML) is a rare smooth-muscle cell disorder of the lung. Most BML lesions stay constant in size for a long time. The prevailing treatment option is primary excision of the nodules or if unresectable, long-time hormone therapy. Herein, we present a case of BML in which a wait-and-see strategy after diagnosis was decided. Fourteen years later a routine chest roentgenogram revealed multiple bi-lobar BML lesions with a giant cyst filling the whole left lung cavity. We conclude that a wait-and-see procedure for BML is feasible, but primary resection of the BML tumor masses is preferable to avoid complications as described in our case.
Hoetzenecker
Konrad
K
Department of Cardiothoracic Surgery, Medical University of Vienna, Vienna, Austria.
Ankersmit
Hendrik J
HJ
Aigner
Clemens
C
Lichtenauer
Michael
M
Kreuzer
Soeren
S
Hacker
Stefan
S
Hoetzenecker
Wolfram
W
Lang
György
G
Klepetko
Walter
W
D001707:Biopsy, Needle; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy; D007150:Immunohistochemistry; D018231:Leiomyomatosis / Q000473:pathology* / Q000601:surgery; D008175:Lung Neoplasms / Q000473:pathology / Q000556:secondary* / Q000628:therapy*; D008875:Middle Aged; D008991:Monitoring, Physiologic; D019370:Observation / Q000379:methods*; D011013:Pneumonectomy / Q000379:methods*; D018570:Risk Assessment; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000473:pathology* / Q000601:surgery