Unusual primary pleural leiomyoma.
Primary pleural leiomyoma is extremely rare and has only been described a few times. We present a case of a young woman with right pleuritic pain. A computed tomography confirmed the existence of a solid right pleural tumor which had compressed and displaced the lung, mediastinum and heart. Percutaneous biopsy showed a 'proliferation of smooth muscle cells without evidence of malignancy'. Surgical excision was done and the tumor was not associated to vascular, broncho-pulmonary or mediastinal structures. The definitive diagnosis was primary pleural leiomyoma. Primary pleural leiomyoma should be included in a differential diagnosis of pleural tumors and suspected in asymptomatic patients with radiologically-apparent benign tumors and the presence of smooth muscle fibers in the biopsy. Complete resection and follow-up is advised because it can grow very large and has malignant potential.
Rodríguez
Pedro M
PM
Department of Thoracic Surgery, Universitary Hospital of Gran Canaria Dr. Negrín, C/Barranco de la Ballena s/n, Las Palmas de Gran Canaria, Canary Island, Spain. prosu2001@yahoo.es
Freixinet
Jorge L
JL
Plaza
Maria L
ML
Camacho
Rafael
R
D001706:Biopsy; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D007889:Leiomyoma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D010997:Pleural Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome